Active NPI
Sheldon Robert Weiss, MSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1164643938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR020106-1
- Practice address
- 145 West 96 St.
1D
New York, NY 10025 - Phone
- (212) 865-0158
- NPI assigned
- May 1, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR020106-1 | NY | Primary |
Addresses
Primary practice location
145 West 96 St.
1D
New York, NY 10025
Mailing address
145 West 96 St.
1D
New York, NY 10025
Phone (212) 865-0158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
800 Catalpa Ave
Teaneck, NJ 07666-1828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR020106-1 | NY | MD | Clinical Social Worker |
| 020106 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164643938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 WEST 96 ST.",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-865-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WEST 96 ST.",
"address_2": "1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-865-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "SHELDON",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR020106-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.