Active NPI
Shonnet Percival
- Social Worker
- New York, NY
National Provider Identifier
1922558758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990 - Phone
- (917) 485-7400
- NPI assigned
- Oct 5, 2016
- Reactivated
- Dec 4, 2025
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
2090 Adam Clayton Powell Jr Blvd
New York, NY 10027-4990
Mailing address
590 Avenue of the Americas
New York, NY 10011-2022
Phone (917) 485-7458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1230603901 | Other | NY | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1922558758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 AVENUE OF THE AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100112022",
"telephone_number": "917-485-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 ADAM CLAYTON POWELL JR BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274990",
"telephone_number": "917-485-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERCIVAL",
"first_name": "SHONNET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2025-12-04",
"deactivation_date": "2018-01-04",
"reactivation_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1230603901",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.