Individual provider Active NPI

Laura Jean McSherry, LCSW

  • Clinical Social Worker
  • Abingdon, MD
National Provider Identifier
1417294760
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085147 Issued in NY
Practice address
2176 Kyle Green Rd
Abingdon, MD 21009-2403
Phone
(845) 649-1391
NPI assigned
Jan 7, 2013
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 085147 NY Primary

Addresses

Primary practice location

2176 Kyle Green Rd
Abingdon, MD 21009-2403

Mailing address

39 N Clinton Ave
Trenton, NJ 08609-1011
Phone (096) 209-0977

Other practice location 1

17 Sussex St
Port Jervis, NY 12771-2430
Phone (845) 856-6344

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
085147NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Amy D Wicker Psy D PLLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1417294760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N CLINTON AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086091011",
            "telephone_number": "096-209-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 KYLE GREEN RD",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210092403",
            "telephone_number": "845-649-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Sussex St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127712430",
            "country_code": "US",
            "telephone_number": "845-856-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCSHERRY",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.