Individual provider Active NPI

Jenna Shnayerson

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1326753948
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
117644-01
Practice address
304 S Salina St Apt 1C
Syracuse, NY 13202-1634
Phone
(631) 903-9235
NPI assigned
Jan 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 117644-01 Primary

Addresses

Primary practice location

304 S Salina St Apt 1C
Syracuse, NY 13202-1634

Mailing address

1801 Milton Ave.
P.O.Box 264
Solvay, NY 13209
Phone (631) 903-9235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1326753948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MILTON AVE.",
            "address_2": "P.O.BOX 264",
            "city": "SOLVAY",
            "state": "NY",
            "postal_code": "13209",
            "telephone_number": "631-903-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S SALINA ST APT 1C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021634",
            "telephone_number": "631-903-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAYERSON",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "117644-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.