MR. BASHEER AHMAD SHABAZZ LCSW
NPI 1235439860
Social Worker - Clinical in Elizabeth, NJ

Active since October 29, 2010
654 E JERSEY ST, ELIZABETH, NJ 07206(908) 296-0724 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Basheer Ahmad Shabazz Lcsw NPPES

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

MR. BASHEER AHMAD SHABAZZ LCSW (NPI 1235439860) is an individual clinical provider in Elizabeth, New Jersey, licensed in New Jersey (44SC05540800) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1235439860
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BASHEER AHMAD SHABAZZCredential: LCSW
Location Address654 E JERSEY STElizabeth, NJ 07206-1261
Mailing AddressPo Box 1901Linden, NJ 07036-0009 · (908) 296-0724
Sole ProprietorYes
Enumeration DateOctober 29, 2010
Last NPPES UpdateApril 13, 2020
NPPES CertifiedApril 13, 2020
✔ NPI 1235439860 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 NJ · 44SC05540800
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 Worker · SchoolTaxonomy 1041S0200X · License 792613 (NJ)
654 E JERSEY ST, Elizabeth, NJ 07206

Other Identifiers 1

Medicaid0404845NJ

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.

Counselor (Addiction (Substance Use Disorder))
654 E JERSEY ST
ELIZABETH, NJ 07206
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
General Acute Care Hospital
654 E JERSEY ST
ELIZABETH, NJ 07206
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Psychiatric Hospital
654 E JERSEY ST
ELIZABETH, NJ 07206
Counselor (Professional)
654 E JERSEY ST
ELIZABETH, NJ 07206
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206
Social Worker
654 E JERSEY ST
ELIZABETH, NJ 07206

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 Basheer Shabazz's NPI number?

The NPI number for Basheer Shabazz is 1235439860. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Basheer Shabazz located?

Basheer Shabazz practices at 654 E Jersey St, Elizabeth, NJ 07206. The listed phone number is (908) 296-0724.

What is Basheer Shabazz'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 Basheer Shabazz was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.