Active NPI
Shauna Louise Cynthia Frederick, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1699341602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 099282
- Practice address
- 1468 Madison Ave
New York, NY 10029-6508 - Phone
- (347) 216-0790
- Fax
- (212) 410-5918
- NPI assigned
- Jun 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 108922 | NY | |
| Clinical Social Worker | 1041C0700X | 099282 | NY | Primary |
Addresses
Primary practice location
1468 Madison Ave
New York, NY 10029-6508
Mailing address
1 Gustave L Levy PL # 1252
New York, NY 10029-6504
Phone (347) 216-0790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25227128 | Other | NY | UNITED HEALTHCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Shauna.Frederick@mountsinai.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 |
|---|---|---|---|
| 108922 | NY | MD | Social Worker |
| 099282 | NY | MD | Clinical Social Worker |
Interoperability endpoints
- shauna.frederick@mountsinai.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1699341602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL # 1252",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "347-216-0790",
"fax_number": "212-410-5918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1468 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "347-216-0790",
"fax_number": "212-410-5918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDERICK",
"first_name": "SHAUNA",
"middle_name": "LOUISE CYNTHIA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108922",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "099282",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "25227128",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Shauna.Frederick@mountsinai.org",
"affiliation": "N",
"address_1": "1468 Madison Ave",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100296508",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 9, 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.