Provider Demographics
NPI:1285244590
Name:SHAKIR, FATEMA (LMSW)
Entity type:Individual
Prefix:
First Name:FATEMA
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 31ST ST APT B5
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2546
Mailing Address - Country:US
Mailing Address - Phone:847-630-6040
Mailing Address - Fax:
Practice Address - Street 1:38 E 32ND ST FL 10
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5562
Practice Address - Country:US
Practice Address - Phone:212-685-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2021-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110258-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker