Active NPI
Jerry William Sheffield, L.C.S.W.
- Clinical Social Worker
- San Francisco, CA
National Provider Identifier
1730205493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20569
- Practice address
- 1301 Pierce St
Maxine Hall Health Center
San Francisco, CA 94115-4005 - Phone
- (415) 292-1355
- Fax
- (415) 928-6487
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 | 20569 | CA | Primary |
Addresses
Primary practice location
1301 Pierce St
Maxine Hall Health Center
San Francisco, CA 94115-4005
Mailing address
1301 Pierce St
Maxine Hall HLTH Ctr
San Francisco, CA 94115-4005
Phone (415) 292-1355
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20569 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City and County of San Francisco | Past | 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.
-
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- San Francisco, CA
- NPI 1578787925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730205493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PIERCE ST",
"address_2": "MAXINE HALL HLTH CTR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154005",
"telephone_number": "415-292-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PIERCE ST",
"address_2": "MAXINE HALL HEALTH CENTER",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154005",
"telephone_number": "415-292-1355",
"fax_number": "415-928-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEFFIELD",
"first_name": "JERRY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "20569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.