MEDICARE: ARICKSHA WILSHIRE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	100093-01	NY
2	104100000X	Social Worker	100093-01	NY

General Provider Information

NPI Number	:	1598295693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARICKSHA WILSHIRE

Provider Business Mailing Address
First Line	:	535 8TH AVE FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-4332
Country	:	US
Telephone Number	:	212-787-9700
Fax Number	:	212-787-4418

Provider Business Practice Location Address
First Line	:	3611 14TH AVE STE 550
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3773
Country	:	US
Telephone Number	:	718-819-6144
Fax Number	:	718-819-6145

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2017
Last Update Date	:	05/26/2026

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Directions to “ ARICKSHA WILSHIRE ” Practice Location

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