Active NPI
Ian Christian Sherman, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1467787259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0764841
- Practice address
- 50 Brighton 1St Rd
16D
Brooklyn, NY 11235-8149 - Phone
- (516) 849-2152
- NPI assigned
- Oct 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0764841 | NY | Primary |
Addresses
Primary practice location
50 Brighton 1St Rd
16D
Brooklyn, NY 11235-8149
Mailing address
50 Brighton 1St Rd
16D
Brooklyn, NY 11235-8149
Phone (516) 849-2152
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 |
|---|---|---|---|
| 0764841 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255305600000",
"number": "1467787259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BRIGHTON 1ST RD",
"address_2": "16D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358149",
"telephone_number": "516-849-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BRIGHTON 1ST RD",
"address_2": "16D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358149",
"telephone_number": "516-849-2152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "IAN",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-12",
"last_updated": "2009-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0764841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.