Individual provider Active NPI

Sheila R Trachtman, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1205146503
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO33845-1 Issued in NY
Practice address
715 Ocean Pkwy Apt 5E
Brooklyn, NY 11230-7817
Phone
(718) 859-2994
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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 RO33845-1 NY Primary
Clinical Social Worker 1041C0700X RO033845-1 NY

Addresses

Primary practice location

715 Ocean Pkwy Apt 5E
Brooklyn, NY 11230-7817

Mailing address

715 Ocean Pkwy Apt 5E
Brooklyn, NY 11230-7817
Phone (718) 859-2994

Other identifiers 1

IdentifierTypeStateIssuer
N7506OtherNYEMPIRE BL UECROSS AND BLUE SHIELD

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

LicenseStateTypeSpecialty
RO033845-1NYMDClinical Social Worker
RO33845-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1205146503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 OCEAN PKWY APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307817",
            "telephone_number": "718-859-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 OCEAN PKWY APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307817",
            "telephone_number": "718-859-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACHTMAN",
        "first_name": "SHEILA",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO33845-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO033845-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BL UECROSS AND BLUE SHIELD",
            "identifier": "N7506",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.