Individual provider Active NPI

Sheryl Eisenberg

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1821631052
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107327-01 Issued in NY
Practice address
348 13TH St Ste 203
Brooklyn, NY 11215-6179
Phone
(718) 788-5101
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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 107327-01 NY Primary

Addresses

Primary practice location

348 13TH St Ste 203
Brooklyn, NY 11215-6179

Mailing address

348 13TH St Ste 203
Brooklyn, NY 11215-6179

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927002803 NY Practitioner - Clinical Social Worker 9931630118 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107327-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Park Slope Center for Mental Health, Inc CurrentSince Oct 27, 2019 Accepting new patients
Cassandra Reid LLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

348 13th St
Ste 203
Brooklyn, NY 11215
Phone (718) 788-5101

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

113 University Pl
New York, NY 10003
Phone (917) 902-4248

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1821631052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 13TH ST STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST STE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156179",
            "telephone_number": "718-788-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "SHERYL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107327-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.