Active NPI
Kaitlin Shearman, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1528419454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091986
- Practice address
- 265 W 146TH St Apt 12a
New York, NY 10039-3744 - Phone
- (484) 788-3224
- NPI assigned
- Jun 22, 2016
- 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 | 091986 | NY | Primary |
Addresses
Primary practice location
265 W 146TH St Apt 12a
New York, NY 10039-3744
Mailing address
265 W 146TH St Apt 12a
New York, NY 10039-3744
Phone (484) 788-3224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087809 | NY | MD | Social Worker |
| 091986 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1528419454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W 146TH ST APT 12A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393744",
"telephone_number": "484-788-3224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 W 146TH ST APT 12A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100393744",
"telephone_number": "484-788-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARMAN",
"first_name": "KAITLIN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.