Individual provider Active NPI

Sheryl Gwen Eilberg, LICSW

  • Social Worker
  • Brighton, MA
National Provider Identifier
1730696097
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1024881 Issued in MA
Practice address
1738 Commonwealth Ave Apt 5
Brighton, MA 02135-5617
Phone
(617) 417-0949
NPI assigned
Jan 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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 1024881 MA Primary

Addresses

Primary practice location

1738 Commonwealth Ave Apt 5
Brighton, MA 02135-5617

Mailing address

1738 Commonwealth Ave Apt 5
Brighton, MA 02135-5617
Phone (617) 417-0949

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

LicenseStateTypeSpecialty
1024881MAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1730696097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 COMMONWEALTH AVE APT 5",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355617",
            "telephone_number": "617-417-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 COMMONWEALTH AVE APT 5",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355617",
            "telephone_number": "617-417-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILBERG",
        "first_name": "SHERYL",
        "middle_name": "GWEN",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1024881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.