Sherman S Stovall Jr., LCSW-R, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

078968 Issued in NY

Practice address

6 Chelsea PL
Clifton Park, NY 12065-3216

Phone

(518) 253-4229

Fax

(518) 565-0533

NPI assigned

Mar 26, 2011

Last updated

Jan 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Legacy LCSW Counseling Services PC

  • Clinical Social Worker
  • Clifton Park, NY
  • NPI 1396080339
  Medicare reassignment NPD Authorized official
• Mary E Vanalstyne Nurse Practitioner in Family Health PC

  • Family Nurse Practitioner
  • Clifton Park, NY
  • NPI 1164169694
  NPD (past)

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1669771812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S BROADWAY",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205207",
            "telephone_number": "518-364-6632",
            "fax_number": "518-565-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHELSEA PL",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653216",
            "telephone_number": "518-253-4229",
            "fax_number": "518-565-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Union St",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123096001",
            "country_code": "US",
            "telephone_number": "518-364-6632",
            "fax_number": "518-565-0533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "SHERMAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW-R, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-26",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Harrison Steindler, DO
• Stephen Carson Physician Assistant
• Lisa M Stevens, LCSW
• Amy Elizabeth Stone, CCC-LSLP
• Patricia M Stott, ANP
• Strength Therapy LCSW PLLC
• Erin Kathryn Student, NP
• Sunitha Sukumaran, MD
• Amy Iris Sullivan, PMHNP
• Mark Sullivan, PA

• Clinical Social Worker in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.

Verify at the official NPI Registry.