Active NPI
Sarah W Schwanfelder Shae, MSW
- Social Worker
- New London, CT
National Provider Identifier
1417389768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 255 Hempstead St
New London, CT 06320-6204 - Phone
- (860) 443-2896
- Fax
- (860) 442-5909
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
255 Hempstead St
New London, CT 06320-6204
Mailing address
128 Podunk Rd
Guilford, CT 06437-2216
Phone (203) 689-5336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 6, 2024 through Aug 6, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9034 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1417389768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 PODUNK RD",
"city": "GUILFORD",
"state": "CT",
"postal_code": "064372216",
"telephone_number": "203-689-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 HEMPSTEAD ST",
"city": "NEW LONDON",
"state": "CT",
"postal_code": "063206204",
"telephone_number": "860-443-2896",
"fax_number": "860-442-5909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWANFELDER SHAE",
"first_name": "SARAH",
"middle_name": "W",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New London, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.