Mr. Basheer A Shabazz, LCSW
Social Worker, Clinical in Elizabeth, New Jersey
1235439860- Practice location
- 654 E Jersey St, Elizabeth, NJ 07206-1261
- Phone
- 908-296-0724
- Fax
- —
- Last updated
- April 13, 2020
Basheer Ahmad Shabazz is a Social Worker, Clinical based in Elizabeth, NJ. Basheer Ahmad Shabazz practices in Elizabeth, NJ and has the professional credentials of LCSW. The NPI Number for Basheer Ahmad Shabazz is 1235439860 and holds a License No. 792613 (NJ). The current practice location address for Basheer Ahmad Shabazz is 654 E Jersey St, Elizabeth, NJ 07206-1261 and can be reached out via phone at 908-296-0724.
Provider Profile Details
- NPI Number
- 1235439860
- Provider Name
- Basheer Ahmad Shabazz
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 654 E Jersey St, Elizabeth, NJ 07206-1261
- Phone Number
- 908-296-0724
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 29, 2010
- Last Update Date
- April 13, 2020
- Certification Date
- April 13, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 654 E Jersey St
Elizabeth, NJ 07206-1261 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07206-1261
- Phone Number
- 908-296-0724
Provider Business Mailing Address Details
- Address
- Po Box 1901
Linden, NJ 07036-0009 - City
- Linden
- State
- NJ
- Zip
- 07036-0009
- Phone Number
- 908-296-0724
License Information
- License Number (1)
- 792613
- License State (1)
- NJ
- Taxonomy (1)
- Social Worker, School · 1041S0200X
- License Number (2)
- 44SC05540800
- License State (2)
- NJ
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Elizabeth, NJ
View all Social Worker, Clinical providers in Elizabeth →- Anne E Gallagher, MSW, LCSWSocial Worker, Clinical · NPI 1114049046
- Elizabeth Pineros, LCSWSocial Worker, Clinical · NPI 1104028174
- Euclides Mateo, MA, LAC, CPRSSocial Worker, Clinical · NPI 1790427458
- Lurlene Holder, LCSWSocial Worker, Clinical · NPI 1437121506
- Mrs. Lourdes Veras, LSWSocial Worker, Clinical · NPI 1609094242
- Ms. Christine M Rappa, LCSWSocial Worker, Clinical · NPI 1578609046
Frequently Asked Questions
What is the NPI number of Mr. Basheer A Shabazz, LCSW?
The NPI number of Mr. Basheer A Shabazz, LCSW is 1235439860. It was assigned on October 29, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Basheer A Shabazz, LCSW?
Mr. Basheer A Shabazz, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 792613.
Where does Mr. Basheer A Shabazz, LCSW practice?
The practice location is 654 E Jersey St, Elizabeth, NJ 07206-1261. The office can be reached at 908-296-0724 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235439860 directly on the NPPES registry website.