Active NPI
Jacqueline Windisch-Shayer, LCSW
- Clinical Social Worker
- Bronx, NY
National Provider Identifier
1821236621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R027343-1
- Practice address
- 1276 Fulton Ave
4TH Floor North
Bronx, NY 10456-3402 - Phone
- (718) 901-8242
- Fax
- (718) 901-8489
- NPI assigned
- Feb 2, 2009
- Sex
- Female
- 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 | R027343-1 | NY | Primary |
Addresses
Primary practice location
1276 Fulton Ave
4TH Floor North
Bronx, NY 10456-3402
Mailing address
1276 Fulton Avenue
4TH Floor North
Bronx, NY 10456
Phone (718) 901-8242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R027343-1 | Other | NY | NYS DEPT. OF EDUCATION - LICENCED CLINICAL SOCIAL WORKER |
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 |
|---|---|---|---|
| R027343-1 | NY | MD | Clinical Social Worker |
| 027343 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1821236621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 FULTON AVENUE",
"address_2": "4TH FLOOR NORTH",
"city": "BRONX",
"state": "NY",
"postal_code": "10456",
"telephone_number": "718-901-8242",
"fax_number": "718-901-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 FULTON AVE",
"address_2": "4TH FLOOR NORTH",
"city": "BRONX",
"state": "NY",
"postal_code": "104563402",
"telephone_number": "718-901-8242",
"fax_number": "718-901-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDISCH-SHAYER",
"first_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-02",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R027343-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS DEPT. OF EDUCATION - LICENCED CLINICAL SOCIAL WORKER",
"identifier": "R027343-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.