Sheronda Sheris Braker, LSW
Individual provider Active NPI Social Worker · Springfield, NJ
NPI 1104535830 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1104535830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL05858200 (NJ)
- Practice address
- 500 Morris Ave
Springfield, NJ 07081-1027 - Phone
- (973) 323-9225
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05858200 | NJ | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05858200 | NJ | Yes |
Addresses
Primary practice location
500 Morris Ave
Springfield, NJ 07081-1027
Mailing address
48 Kempshall Ter
Fanwood, NJ 07023-1516
Phone (908) 451-2052
Other providers in Springfield, NJ
- William H Bohrod
- Megan Bohse
- Boomerang Transportation Inc.
- Thomas David Boyle
- Brainchild Neurology LLC
- Claudia Sofia Branco
- Beth Anne Brenner
- Brighter Dental Care (Springfield)
- Alex Brito
- Steven Paul Brownstein
All providers in Springfield, NJ · Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.