Active NPI
Susan Jeanette Sherwood, LCSW
- Professional Counselor
- Monticello, NY
National Provider Identifier
1285939348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- RO46618-1
- Practice address
- 22 Saint John St
Monticello, NY 12701-2118 - Phone
- (845) 794-3430
- Fax
- (845) 794-4969
- NPI assigned
- Jan 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | RO46618-1 | NY | Primary |
Addresses
Primary practice location
22 Saint John St
Monticello, NY 12701-2118
Mailing address
22 Saint John St
Monticello, NY 12701-2118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO46618-1 | NY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1285939348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAINT JOHN ST",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127012118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SAINT JOHN ST",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127012118",
"telephone_number": "845-794-3430",
"fax_number": "845-794-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "SUSAN",
"middle_name": "JEANETTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-21",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NY",
"license": "RO46618-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.