Provider Demographics
NPI:1407349277
Name:CHENKI-SHAPSA, ADI HAVA (MSW)
Entity Type:Individual
Prefix:
First Name:ADI
Middle Name:HAVA
Last Name:CHENKI-SHAPSA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PARKVALE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-4118
Mailing Address - Country:US
Mailing Address - Phone:617-610-5196
Mailing Address - Fax:
Practice Address - Street 1:15 PARKMAN ST # ST037
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-610-5196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical