Summer Marie Sheridan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080516-01 Issued in NY

Practice address

295 Central Park W Ofc 2
New York, NY 10024-3021

Phone

(646) 470-0521

NPI assigned

Oct 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Summer M Sheridan-Zabre Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1235902479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 FREDERICK DOUGLASS BLVD APT 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100392114",
            "telephone_number": "646-470-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 CENTRAL PARK W OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243021",
            "telephone_number": "646-470-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "SUMMER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080516-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "SHERIDAN-ZABRE",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Sheridan, LCSW
• Ryan Sheridan
• Ryan P. Sheridan, PAC
• Sandra Sheridan, P.T.
• Silas T Sheridan
• Rania Sherif
• Yaser Sherif, MD
• Hazel Sherin, PRE-LICENSED MFT
• Susan P Sherkow, MD
• Anne Marie Sherlock

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.