Active NPI
Shivanand N Sohan, LMSW
- Social Worker
- Massapequa, NY
National Provider Identifier
1801559240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114121
- Practice address
- 7 Denise St
Massapequa, NY 11758-4318 - Phone
- (516) 404-4412
- NPI assigned
- Oct 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 114121 | NY | Primary |
Addresses
Primary practice location
7 Denise St
Massapequa, NY 11758-4318
Mailing address
7 Denise St
Massapequa, NY 11758-4318
Phone (516) 404-4412
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Snsohan@icloud.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- State University of New York at Stony Brook, School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1250 Shakespeare Ave
Bronx, NY 10452-3012
Phone (646) 350-1633
2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114121 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shakespeare Operating LLC | Single Specialty | Current | Accepting new patients |
Locations
1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633
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.
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1801559240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 DENISE ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584318",
"telephone_number": "516-404-4412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 DENISE ST",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584318",
"telephone_number": "516-404-4412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOHAN",
"first_name": "SHIVANAND",
"middle_name": "N",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "114121",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Snsohan@icloud.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "7 Denise St",
"city": "Massapequa",
"state": "NY",
"country_code": "US",
"postal_code": "117584318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.