Active NPI
Sheryl Jaffe, MA, MSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1598073389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089862
- Practice address
- 3600 Jerome Ave
Fegs Health & Human Services, Mental Health Clinic
Bronx, NY 10467-1052 - Phone
- (718) 881-7600
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 218949 | MA | |
| Clinical Social Worker | 1041C0700X | 089862 | NY | Primary |
Addresses
Primary practice location
3600 Jerome Ave
Fegs Health & Human Services, Mental Health Clinic
Bronx, NY 10467-1052
Mailing address
3600 Jerome Ave
Fegs Health & Human Services, Mental Health Clinic
Bronx, NY 10467-1052
Phone (718) 881-7600
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218949 | MA | MD | Social Worker |
| 089862 | NY | MD | Clinical Social Worker |
| 087698 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1598073389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 JEROME AVE",
"address_2": "FEGS HEALTH & HUMAN SERVICES, MENTAL HEALTH CLINIC",
"city": "BRONX",
"state": "NY",
"postal_code": "104671052",
"telephone_number": "718-881-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 JEROME AVE",
"address_2": "FEGS HEALTH & HUMAN SERVICES, MENTAL HEALTH CLINIC",
"city": "BRONX",
"state": "NY",
"postal_code": "104671052",
"telephone_number": "718-881-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFFE",
"first_name": "SHERYL",
"credential": "MA, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "218949",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.