Individual provider Active NPI

Sherry G. Sheffield, LCSW-S

  • Clinical Social Worker
  • Greenville, TX
National Provider Identifier
1790447381
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
31573 Issued in TX
Practice address
2710 Sunset Strip Ste C
Greenville, TX 75402-3848
Phone
(903) 454-2214
Fax
(903) 454-2250
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 31573 TX Primary

Addresses

Primary practice location

2710 Sunset Strip Ste C
Greenville, TX 75402-3848

Mailing address

6290 FM 2101
Quinlan, TX 75474-3443
Phone (903) 456-3113

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssheffield@mindful.health Direct

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
31573TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health of Texas, PA PastSince May 22, 2022 Accepting new patients
Mindful Health PC PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 2

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1790447381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 FM 2101",
            "city": "QUINLAN",
            "state": "TX",
            "postal_code": "754743443",
            "telephone_number": "903-456-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SUNSET STRIP STE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754023848",
            "telephone_number": "903-454-2214",
            "fax_number": "903-454-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "SHERRY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssheffield@mindful.health",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2710 Sunset Strip Ste C",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754023848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.