Organization Active NPI

Jalana Shereese, LCSW, PLLC

  • Clinical Social Worker
  • Douglaston, NY
National Provider Identifier
1285258392
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JALANA SHEREESE, LCSW, PLLC
Practice address
5774 246TH Cres FL 1
Douglaston, NY 11362-1908
Phone
(646) 883-0197
NPI assigned
Jun 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Dr. Jalana Harris, PHD, LCSW-RNPI 1467771659
Title
Owner Private Practice
Phone
(646) 883-0197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5774 246TH Cres FL 1
Douglaston, NY 11362-1908

Mailing address

24825 Northern Blvd # 1J-137
Little Neck, NY 11362-1211
Phone (646) 883-0197

Other identifiers 1

IdentifierTypeStateIssuer
034714410MedicaidNY

Other names 1

  • Jalana Shereese Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1285258392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24825 NORTHERN BLVD # 1J-137",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621211",
            "telephone_number": "646-883-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5774 246TH CRES FL 1",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621908",
            "telephone_number": "646-883-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JALANA SHEREESE, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JALANA",
        "authorized_official_title_or_position": "OWNER PRIVATE PRACTICE",
        "authorized_official_telephone_number": "646-883-0197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034714410",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jalana Shereese",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglaston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.