Active NPI
Shelley Scheffler, PH.D., LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1184726648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R015844-01
- Practice address
- 276 5TH Ave RM 307
New York, NY 10001-4509 - Phone
- (551) 655-1658
- NPI assigned
- Sep 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R015844-01 | NY | Primary |
Addresses
Primary practice location
276 5TH Ave RM 307
New York, NY 10001-4509
Mailing address
1101 Central Ave
Union City, NJ 07087-3107
Phone (551) 655-1658
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230612000673 | NY | Practitioner - Clinical Social Worker | 8628435369 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
276 5TH Ave
New York, NY 10001-4509
Phone (551) 655-1658
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015844 | NY | MD | Clinical Psychologist |
| R015844-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1184726648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 CENTRAL AVE",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070873107",
"telephone_number": "551-655-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 5TH AVE RM 307",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014509",
"telephone_number": "551-655-1658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEFFLER",
"first_name": "SHELLEY",
"credential": "PH.D., LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R015844-01",
"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 Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.