Individual provider Active NPI

Karen R Sheerin, LCSW

  • Social Worker
  • Islip, NY
National Provider Identifier
1699034231
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
RO75978-1 Issued in NY
Practice address
98 Finch LN
Islip, NY 11751-3343
Phone
(631) 650-1820
Fax
(631) 650-9491
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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 RO75978-1 NY Primary

Addresses

Primary practice location

98 Finch LN
Islip, NY 11751-3343

Mailing address

98 Finch LN
Islip, NY 11751-3343
Phone (631) 650-1820

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

State licenses

LicenseStateTypeSpecialty
RO75978-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Options Systems LCSW LLP PastSince Aug 20, 2006 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1699034231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 FINCH LN",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513343",
            "telephone_number": "631-650-1820",
            "fax_number": "631-650-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 FINCH LN",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513343",
            "telephone_number": "631-650-1820",
            "fax_number": "631-650-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERIN",
        "first_name": "KAREN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO75978-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; 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.