Active NPI
Chelsea Shiraz Shepherd, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1669127676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092246
- Practice address
- 220 East 42ND Street Yai
8TH Floor
New York, NY 10017 - Phone
- (646) 276-0741
- Fax
- (718) 283-3602
- NPI assigned
- Feb 17, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 092246 | NY | Primary |
Addresses
Primary practice location
220 East 42ND Street Yai
8TH Floor
New York, NY 10017
Mailing address
17 Cohawney Rd
Scarsdale, NY 10583
Phone (914) 263-6470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092246 | Other | NY | LCSW LICENSE NUMBER |
Other names 1
- Ms. Chelsea Shiraz Tussing
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CTussing@maimonidesmed.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 092246 | NY | MD | Clinical Social Worker |
Interoperability endpoints
- ctussing@maimonidesmed.org
- chelsea.tussing.p1@direct.premierhealthcare.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1669127676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 COHAWNEY RD",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "10583",
"telephone_number": "914-263-6470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EAST 42ND STREET YAI",
"address_2": "8TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "646-276-0741",
"fax_number": "718-283-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "CHELSEA",
"middle_name": "SHIRAZ",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-17",
"last_updated": "2025-08-27",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "092246",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW LICENSE NUMBER",
"identifier": "092246",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "CTussing@maimonidesmed.org",
"affiliation": "N",
"address_1": "1301 57th St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112194636",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "TUSSING",
"middle_name": "SHIRAZ",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.