1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Social Worker
  6. NPI Profile

SHAKA REYNOLDS
NPI 1164918561
Social Worker - Clinical in New York, NY

Active since July 09, 2018
119 W 124TH ST, NEW YORK, NY 10027(212) 932-2810 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shaka Reynolds NPPES

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

SHAKA REYNOLDS (NPI 1164918561) is an individual clinical provider in New York, New York, licensed in New York (093362) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1164918561
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSHAKA REYNOLDS
Location Address119 W 124TH STNew York, NY 10027-4920
Mailing Address119 W 124th StNew York, NY 10027-4920
Phone(212) 932-2810
Sole ProprietorNo
Enumeration DateJuly 9, 2018
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1164918561 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 NY · 093362
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 ListedSocial WorkerTaxonomy 104100000X · License 102393 (NY)
119 W 124TH ST, New York, NY 10027
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

STEVEN WHITEHEAD CASAC
Counselor (Addiction (Substance Use Disorder))
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
AURELIO SOLIVEN CABAONG JR.
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
MS. LUCY A MIRO-QUESADA LCSW
Social Worker (Clinical)
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2676
DR. TATIANA GOUSKOVA MD
Internal Medicine
119 W 124TH ST, ARTC, STARTING POINT CLINIC
NEW YORK, NY 10027
New York County (212) 865-2007
MS. ROSETTE LACRECIA RANDALL LMSW
Counselor (Addiction (Substance Use Disorder))
119 W 124TH ST, 6TH FLOOR
NEW YORK, NY 10027
New York County (917) 386-1799
TIKINA WILKINS
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 222-2069
CHRISTINA LEROY
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2810
ABEENA APPANA
Licensed Practical Nurse
119 W 124TH ST
NEW YORK, NY 10027
New York County (212) 932-2676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaka Reynolds's NPI number?

The NPI number for Shaka Reynolds is 1164918561. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Shaka Reynolds located?

Shaka Reynolds practices at 119 W 124th St, New York, NY 10027. The listed phone number is (212) 932-2810.

What is Shaka Reynolds's specialty?

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

When was this NPI record last updated?

The NPPES record for Shaka Reynolds was last updated on January 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.