Individual provider Active NPI

Rochelle Shister, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1306299235
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098029 Issued in NY
Practice address
460 Neptune Ave
Apt #15H
Brooklyn, NY 11224-4301
Phone
(347) 782-2384
NPI assigned
Jul 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098029 NY Primary

Addresses

Primary practice location

460 Neptune Ave
Apt #15H
Brooklyn, NY 11224-4301

Mailing address

460 Neptune Ave
Apt #15H
Brooklyn, NY 11224-4301
Phone (347) 782-2384

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098029NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1306299235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NEPTUNE AVE",
            "address_2": "APT #15H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244301",
            "telephone_number": "347-782-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NEPTUNE AVE",
            "address_2": "APT #15H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244301",
            "telephone_number": "347-782-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISTER",
        "first_name": "ROCHELLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.