Active NPI
Brett A Sheldon, LCSW
- Clinical Social Worker
- Highland Park, NJ
National Provider Identifier
1427401348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05821000
- Practice address
- 27 S 5TH Ave
Highland Park, NJ 08904-2604 - Phone
- (201) 367-8915
- NPI assigned
- Jul 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL06174800 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05821000 | NJ | Primary |
Addresses
Primary practice location
27 S 5TH Ave
Highland Park, NJ 08904-2604
Mailing address
27 S 5TH Ave
Highland Park, NJ 08904-2604
Phone (201) 367-8915
Other practice location 1
6 Cornwall Ct
East Brunswick, NJ 08816-3347
Phone (732) 955-4141
Other practice location 2
108 S 5th Ave
Highland Park, NJ 08904-2607
Phone (201) 367-8915
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06174800 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vimax LLC | 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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- East Brunswick, NJ
- NPI 1710504881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1427401348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 S 5TH AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042604",
"telephone_number": "201-367-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 S 5TH AVE",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042604",
"telephone_number": "201-367-8915"
}
],
"practiceLocations": [
{
"address_1": "6 Cornwall Ct",
"address_purpose": "LOCATION",
"city": "East Brunswick",
"state": "NJ",
"postal_code": "088163347",
"country_code": "US",
"telephone_number": "732-955-4141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 S 5th Ave",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "NJ",
"postal_code": "089042607",
"country_code": "US",
"telephone_number": "201-367-8915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELDON",
"first_name": "BRETT",
"middle_name": "A",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL06174800",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05821000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.