Dawn Elayne Shedrick, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076384 Issued in NY

Practice address

159 Twin Lawns Ave
Brentwood, NY 11717-6019

Phone

(631) 231-4704

Fax

(631) 231-4704

NPI assigned

Jan 29, 2008

Last updated

Nov 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jentex Training & Consulting

  • Clinical Social Worker
  • Brentwood, NY
  • NPI 1609380435
  NPD (past) Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1760669923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 TWIN LAWNS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176019",
            "telephone_number": "631-435-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 TWIN LAWNS AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117176019",
            "telephone_number": "631-231-4704",
            "fax_number": "631-231-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDRICK",
        "first_name": "DAWN",
        "middle_name": "ELAYNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene N Seara, LMSW
• Dorel Paul Serban, LMSW
• Michael Session
• Shetal Amit Shah, M.D.
• Donna Marie Shannon, R.N.01
• Gillian Shelby
• Dil Ara Siddika, MD,DO
• Bessie Sidoo, LPN
• Elizabeth Sill, N.P.
• Jennifer Enith Simmons, LMSW

• Clinical Social Worker in Brentwood, NY
• Providers in Brentwood, 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 Nov 30, 2017; 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.