Nancy Shertok, M.S.W, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004874 Issued in GA

Practice address

2620 Clairview St
Alpharetta, GA 30009-8325

Phone

(678) 929-5905

Fax

(770) 609-6918

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1063545580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CLAIRVIEW ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098325",
            "telephone_number": "678-929-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CLAIRVIEW ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098325",
            "telephone_number": "678-929-5905",
            "fax_number": "770-609-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERTOK",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "M.S.W, L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021254",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "2138-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.psychotherapy123.com",
            "affiliation": "N",
            "address_1": "2620 Clairview St",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300098325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Shelton
• Julia Shengaout, L.AC
• Kimberly Ann Shepard, PTA
• Tiffany Sheppard, RBT
• Mark Jason Sherling
• Ritu Khanna Shetty, MD
• Areeba Shigri
• Gargi Anil Shikhare, M.D.
• Ellen Elisabeth Shiraef, OTR
• Paula Shirley

• Clinical Social Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.