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MRS. MASHALLAH SHAKUR LCSW
NPI 1790172849
Counselor - Mental Health in Roswell, GA

Active since April 15, 2015PECOS Enrolled
3438 LAURELWOOD CT NE, ROSWELL, GA 30075(678) 637-7166(770) 414-0804 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mashallah Shakur Lcsw NPPES

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

MRS. MASHALLAH SHAKUR LCSW (NPI 1790172849) is an individual mental health provider in Roswell, Georgia, licensed in Georgia (CSW005390) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790172849
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MASHALLAH SHAKURCredential: LCSW
Location Address3438 LAURELWOOD CT NERoswell, GA 30075-5250
Mailing Address3438 Laurelwood Ct NeRoswell, GA 30075-5250 · (678) 637-7166 · Fax (770) 414-0804
Phone(678) 637-7166
Fax(770) 414-0804
Sole ProprietorYes
Enumeration DateApril 15, 2015
✔ NPI 1790172849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · CSW005390
3438 LAURELWOOD CT NE, Roswell, GA 30075
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mashallah Shakur Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

IRIT LANTZMAN LCSW
Social Worker (Clinical)
3438 LAURELWOOD CT NE
ROSWELL, GA 30075
Fulton County (678) 637-7166

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 Mashallah Shakur's NPI number?

The NPI number for Mashallah Shakur is 1790172849. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Mashallah Shakur located?

Mashallah Shakur practices at 3438 Laurelwood Ct NE, Roswell, GA 30075. The listed phone number is (678) 637-7166.

What is Mashallah Shakur's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Mashallah Shakur enrolled in Medicare?

Yes. Mashallah Shakur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mashallah Shakur was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.