Shani Erdman, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

120059 Issued in NY

Practice address

1475 Park Ave
New York, NY 10029-3810

Phone

(646) 880-7186

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1356020663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W 104TH ST APT PHA",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293810",
            "telephone_number": "646-880-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 E Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100025507",
            "country_code": "US",
            "telephone_number": "646-880-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "SHANI",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "120059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse K Erckert
• Bridget Ercole
• Alexander Erdelyi, DC
• Cicek Erdem, PHD
• Andrew Lee Erdman, LCSW
• John Michael Eremita, RPH
• Ergo Therapeutics LLC
• Zuhal Ergonul, M.D., PHD
• Erh RX Corp.
• Erh RX Corp.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.