Jonathan Shedlo

Primary specialty

Social WorkerTaxonomy code 104100000X

License

117331 Issued in NY

Practice address

940 Amsterdam Ave Apt 3
New York, NY 10025-3091

Phone

(443) 695-0617

NPI assigned

Aug 23, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Equanimity Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1871428268
  NPD Authorized official
• Equanimity Therapy Collective

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1184582173
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1013636257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 AMSTERDAM AVE APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253091",
            "telephone_number": "443-695-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 AMSTERDAM AVE APT 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100253091",
            "telephone_number": "443-695-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDLO",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Sheckartze
• Isabel Jaeka Shecter Stone I, ATR-BC, LCAT
• Adam James Shecter
• Jonathan Adar Shectman, NP
• Heidi Shedlin, LCSW
• Daniel Shedlovskiy, MD
• Madeline Lee Sheedlo, RD, CDN
• Caitlin Kuhar Sheehan, MA, MS
• Danielle Sheehan
• Darragh Barbara Sheehan, LCSW

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.