Organization Active NPI

John E Shafer

  • Clinical Social Worker
  • Canandaigua, NY
National Provider Identifier
1255200275
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOHN E SHAFER
Practice address
2525 Parkside Dr
Suite 430
Canandaigua, NY 14424
Phone
(585) 743-7322
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
John Shafer
Title
LCSW
Phone
(334) 322-7392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2525 Parkside Dr
Suite 430
Canandaigua, NY 14424

Mailing address

2525 Parkside Dr
Suite 430
Canandaigua, NY 14424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1255200275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 PARKSIDE DR",
            "address_2": "SUITE 430",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PARKSIDE DR",
            "address_2": "SUITE 430",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424",
            "telephone_number": "585-743-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E SHAFER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "334-322-7392"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.