Individual provider Active NPI

Sheryl Ann Hafers, L.C.S.W.

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1154458024
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075294-1 Issued in NY
Practice address
7 N Equestrian CT
Hauppauge, NY 11788-3334
Phone
(631) 944-0995
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075294-01 NY
Clinical Social Worker 1041C0700X 075294-1 NY Primary

Addresses

Primary practice location

7 N Equestrian CT
Hauppauge, NY 11788-3334

Mailing address

7 N Equestrian CT
Hauppauge, NY 11788-3334
Phone (631) 944-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000370 NY Practitioner - Clinical Social Worker 4385095256 Practice locations: Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 N Equestrian CT
Hauppauge, NY 11788-3334
Phone (631) 944-0995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075294-01NYMDClinical Social Worker
075294-1NYMDClinical Social Worker
050558NYMDPhysical Therapist

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1154458024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N EQUESTRIAN CT",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883334",
            "telephone_number": "631-944-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N EQUESTRIAN CT",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883334",
            "telephone_number": "631-944-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFERS",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075294-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075294-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.