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NPI Code Detail

MEDICARE: MALIKAH SHAHEED MSW

MEDICARE:   MALIKAH  SHAHEED  MSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1700274388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALIKAH SHAHEED MSW
Provider Business Mailing Address
First Line : 614 COOPER HILL RD
Second Line :
City : WYNANTSKILL
State : NY
Zip : 12198-2906
Country : US
Telephone Number : 518-283-6500
Fax Number :
Provider Business Practice Location Address
First Line : 614 COOPER HILL RD
Second Line :
City : WYNANTSKILL
State : NY
Zip : 12198-2906
Country : US
Telephone Number : 518-283-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2015
Last Update Date : 03/24/2026

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Directions to “ MALIKAH SHAHEED MSW” Practice Location

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