Active NPI
Sheronda Sheris Braker, LSW
- Social Worker
- Springfield, NJ
National Provider Identifier
1104535830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05858200
- Practice address
- 500 Morris Ave
Springfield, NJ 07081-1027 - Phone
- (973) 323-9225
- NPI assigned
- Nov 21, 2022
- Last updated
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05858200 | NJ | Primary |
Addresses
Primary practice location
500 Morris Ave
Springfield, NJ 07081-1027
Mailing address
48 Kempshall Ter
Fanwood, NJ 07023-1516
Phone (908) 451-2052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05858200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1104535830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 KEMPSHALL TER",
"city": "FANWOOD",
"state": "NJ",
"postal_code": "070231516",
"telephone_number": "908-451-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MORRIS AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070811027",
"telephone_number": "973-323-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAKER",
"first_name": "SHERONDA",
"middle_name": "SHERIS",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05858200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.