Individual provider Active NPI

Chauncey Rachael Sherwood Harrison, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1396465357
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11871401 Issued in NY
Practice address
354 E 91St St Apt 802
New York, NY 10128-0055
Phone
(917) 941-4983
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dance Therapist 225600000X 002350 NY
Social Worker 104100000X 11871401 NY Primary

Addresses

Primary practice location

354 E 91St St Apt 802
New York, NY 10128-0055

Mailing address

354 E 91St St
New York, NY 10128-5354
Phone (917) 941-4983

Other practice location 1

1651 3rd Ave
New York, NY 10128-3679
Phone (917) 941-4983

Other practice location 2

159 20th St
Brooklyn, NY 11232-1253
Phone (646) 335-5881

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

State licenses

LicenseStateTypeSpecialty
11871401NYMDSocial Worker
002350NYMDDance Therapist

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1396465357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 E 91ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101285354",
            "telephone_number": "917-941-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 E 91ST ST APT 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101280055",
            "telephone_number": "917-941-4983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283679",
            "country_code": "US",
            "telephone_number": "917-941-4983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 20th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112321253",
            "country_code": "US",
            "telephone_number": "646-335-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CHAUNCEY",
        "middle_name": "RACHAEL SHERWOOD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "NY",
            "license": "002350",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11871401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

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