John E Shafer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071443 Issued in NY

Practice address

31 Thurber Dr
Waterloo, NY 13165-1600

Phone

(315) 539-1980

Fax

(315) 539-1054

NPI assigned

Oct 6, 2006

Sex

Male

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)

Enrolled

Practice roles

Locations

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.

• Presence Psychology, LMSW, PT, OT and SLP Services, PLLC

  • Intellectual & Developmental Disabilities Psychologist
  • Seneca Falls, NY
  • NPI 1538688924
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942397682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651600",
            "telephone_number": "315-539-1980",
            "fax_number": "315-539-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651600",
            "telephone_number": "315-539-1980",
            "fax_number": "315-539-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seneca County Public Health Department
• Seneca County Treasurer
• Seneca Nursing & Rehab Center
• Seneca Nursing and Rehabilitation
• Seneca Nursing and Rehabilitation
• John Frank Sherman, CASAC-T
• Robert Shields, CRPA-P
• Martha Ann Sims, M. DIV, MSW LCSW-R
• Elizabeth Marie Smith
• Soldiers & Sailors Memorial Hospital

• Clinical Social Worker in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.