Individual provider Active NPI

Sheila Tanya McDuffy, LMSW

  • Social Worker
  • Stamford, CT
National Provider Identifier
1518694777
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW139130 Issued in PA
Practice address
180 Broad St Apt 1233
Stamford, CT 06901-2078
Phone
(646) 544-7414
NPI assigned
Aug 6, 2022
Last updated
Aug 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW139130 PA Primary

Addresses

Primary practice location

180 Broad St Apt 1233
Stamford, CT 06901-2078

Mailing address

180 Broad St Apt 1233
Stamford, CT 06901-2078
Phone (646) 544-7414

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL PresenceLearning PresenceLearning, Inc.

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
SW139130PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1518694777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 BROAD ST APT 1233",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012078",
            "telephone_number": "646-544-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROAD ST APT 1233",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012078",
            "telephone_number": "646-544-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDUFFY",
        "first_name": "SHEILA",
        "middle_name": "TANYA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PresenceLearning",
            "affiliation": "Y",
            "affiliationName": "PresenceLearning, Inc.",
            "address_1": "580 Market St",
            "address_2": "6th Floor",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941045403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.