John Sheridan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L4487 Issued in OR

Practice address

20595 SW TV Hwy
Aloha, OR 97006-1767

Phone

(503) 277-3077

NPI assigned

Dec 23, 2009

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1932438876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SE ALBERTINE ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235191",
            "telephone_number": "503-277-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20595 SW TV HWY",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970061767",
            "telephone_number": "503-277-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Job Sena
• Sequoia Mental Health Services Inc
• Loretta Shah, QMHP-R
• Larisha Shelby
• Sawyer G Sheldon, MA, LPC, LMHC, NCC
• Cortney Lynne Short, DC
• Laura Shugart, QMHA
• Hattie Rose Siegfried, CRM II/PSS
• Agapi Simidyan, PHARMD
• Angela Marie Simons

• Clinical Social Worker in Aloha, OR
• Providers in Aloha, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.