Jennifer Laura Shepherd, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

094365 Issued in NY

Practice address

721 Broadway # 270
Kingston, NY 12401-3449

Phone

(518) 245-6272

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1881476901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 FAIRVIEW AVE STE 99",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125348404",
            "telephone_number": "518-245-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BROADWAY # 270",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013449",
            "telephone_number": "518-245-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JENNIFER",
        "middle_name": "LAURA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest C Shaw, MD
• Jessica Shaw, LCSW
• Joanna Rose Shaw, COTA
• Noreen Marie Sheehan
• Maryann E Sheeley, R.PH.
• Michael Sheran, MD
• Denise B Sherman, LCSW
• Laurie Gordan Sherman, M.A.
• Warren Sherman, M.D.
• Michelle Shevlin

• Social Worker in Kingston, NY
• Providers in Kingston, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.