Individual provider Active NPI

Kayleigh Rose Sherman

  • Clinical Social Worker
  • Briarcliff Manor, NY
National Provider Identifier
1841898814
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088297 Issued in NY
Practice address
233 Pine Rd
Briarcliff Manor, NY 10510-2236
Phone
(914) 449-4449
NPI assigned
Oct 13, 2020
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10669 CT
Clinical Social Worker 1041C0700X 088297 NY Primary

Addresses

Primary practice location

233 Pine Rd
Briarcliff Manor, NY 10510-2236

Mailing address

15 Westview TRL
New Fairfield, CT 06812-4804
Phone (518) 269-2154

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ksherman@clementineprograms.com Direct Eating Disorder Treatment of New York, LLC

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
10669CTMDClinical Social Worker
088297NYMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: ksherman@clementineprograms.com

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1841898814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WESTVIEW TRL",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124804",
            "telephone_number": "518-269-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PINE RD",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102236",
            "telephone_number": "914-449-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KAYLEIGH",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10669",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksherman@clementineprograms.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Eating Disorder Treatment of New York, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "233 Pine Rd",
            "city": "Briarcliff Manor",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105102236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.