Active NPI
SJS Ventures, LLC
Doing business as The Retreat at Cedar Creek
- Clinical Social Worker
- Edwardsville, KS
National Provider Identifier
1093580532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SJS VENTURES, LLC
- Doing business as
- The Retreat at Cedar Creek
- Practice address
- 33 N 98TH St
Edwardsville, KS 66111-1403 - Phone
- (913) 954-9114
- NPI assigned
- Nov 15, 2023
- Last updated
- Nov 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheldon Schelling, LSCSW
- Title
- President
- Phone
- (913) 954-9114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
33 N 98TH St
Edwardsville, KS 66111-1403
Mailing address
33 N 98TH St
Edwardsville, KS 66111-1403
Phone (913) 954-9114
Other names 1
- The Retreat at Cedar Creek
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Big Spring, TX
- NPI 1578514055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700006400000",
"number": "1093580532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N 98TH ST",
"city": "EDWARDSVILLE",
"state": "KS",
"postal_code": "661111403",
"telephone_number": "913-954-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 N 98TH ST",
"city": "EDWARDSVILLE",
"state": "KS",
"postal_code": "661111403",
"telephone_number": "913-954-9114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SJS VENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A",
"authorized_official_last_name": "SCHELLING",
"authorized_official_first_name": "SHELDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "913-954-9114",
"authorized_official_credential": "LSCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Retreat at Cedar Creek",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edwardsville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.