MEDICARE: JOY ARISA SHAKUR LSW

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	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588140271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOY ARISA SHAKUR LSW

Provider Business Mailing Address
First Line	:	723 PHILLIPS AVE BLDG E
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1351
Country	:	US
Telephone Number	:	419-407-5546
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 PHILLIPS AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43612-1300
Country	:	US
Telephone Number	:	419-407-5546
Fax Number	:

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

Provider Enumeration Date	:	07/16/2018
Last Update Date	:	07/16/2018

Similar Medicare Providers

1881687101 — MADHUSUDAN F PATEL MD
Practice Location Address:

723 PHILLIPS AVE , SUITE 201-A
TOLEDO, OH
43612-1300

Practice Phone: 419-476-2124
Practice Fax: 419-476-3882

1689605990 — DR. MARK A. DUMAS D.C.
Practice Location Address:

723 PHILLIPS AVE , BLDG C.
TOLEDO, OH
43612-1300

Practice Phone: 419-478-0303
Practice Fax: 419-478-0430

1316075401 — MR. CRAIG P CHURCH D.C
Practice Location Address:

723 PHILLIPS AVE STE 275
TOLEDO, OH
43612-1300

Practice Phone: 419-269-2424
Practice Fax:

1386024651 — ADVANTAGE RADIOLOGY SERVICE LLC
Practice Location Address:

723 PHILLIPS AVE , SUITE 275
TOLEDO, OH
43612-1300

Practice Phone: 419-269-2424
Practice Fax:

1174341085 — MNM TRANSPORTATION LLC
Practice Location Address:

723 PHILLIPS AVE
TOLEDO, OH
43612-1300

Practice Phone: 419-478-6444
Practice Fax:

1659795185 — MRS. BRENDA LEE ELLIOTT RN
Practice Location Address:

1300 FOREST AVE
TOLEDO, OH
43607-1947

Practice Phone: 419-671-4550
Practice Fax: 419-671-4595

Directions to “ JOY ARISA SHAKUR LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.