Active NPI
Jalana Shereese, LCSW, PLLC
- Clinical Social Worker
- Douglaston, NY
National Provider Identifier
1285258392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jalana Harris, PHD, LCSW-R
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034714410 | Medicaid | NY |
Other names 1
- Jalana Shereese
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Little Neck, NY
- NPI 1467771659
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.