SHADAN A SIRWAN
NPI 1023747169
Social Worker - Clinical in Mequon, WI

Q: What is Shadan Sirwan's NPI number?

The NPI number for Shadan Sirwan is 1023747169. It was assigned to this individual provider in the NPPES registry on June 6, 2022. The provider is also known as Shadan A Fuqe.

Q: What is Shadan Sirwan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Shadan Sirwan was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2022

1655 W MEQUON RD, MEQUON, WI 53092(414) 292-4242(262) 240-9745 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2023, Oct 23, 2023, Jun 6, 2022 (3 updates tracked since 2022).

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About Shadan A Sirwan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADAN A SIRWAN (NPI 1023747169) is an individual clinical provider in Mequon, Wisconsin, licensed in Wisconsin (11476-123) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1023747169

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHADAN A SIRWAN

Location Address1655 W MEQUON RDMequon, WI 53092-3254

Mailing Address8560 W Waterford Ave Apt 6Greenfield, WI 53228-2328 · (206) 495-7614

Phone(414) 292-4242

Fax(262) 240-9745

Sole ProprietorNo

Enumeration DateJune 6, 2022

Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration

NPPES CertifiedOctober 23, 2023

✔ NPI 1023747169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in WI · 11476-123

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

1655 W MEQUON RD, Mequon, WI 53092

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Other Names 1

Former Name (1)Shadan A Fuqe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEIL P LYNCH MA

Counselor (Professional)