Provider Demographics
NPI:1356825939
Name:SHATEK, MICHAEL BURKE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BURKE
Last Name:SHATEK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5931 WINDING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2136
Mailing Address - Country:US
Mailing Address - Phone:210-213-4683
Mailing Address - Fax:
Practice Address - Street 1:5931 WINDING RIDGE DR
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-2136
Practice Address - Country:US
Practice Address - Phone:210-213-4683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX637451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical