Active NPI
Joseph Edward Sherry, LCSW
- Clinical Social Worker
- Ridgway, PA
National Provider Identifier
1942485057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016199
- Practice address
- 110 Lincoln St
Ridgway, PA 15853-1939 - Phone
- (814) 776-0250
- Fax
- (814) 776-1470
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016199 | PA | Primary |
Addresses
Primary practice location
110 Lincoln St
Ridgway, PA 15853-1939
Mailing address
1 N Main St
Coudersport, PA 16915-1630
Phone (814) 274-8651
Other names 1
- Joe Edward Sherry
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Pine Valley Central School | Past | Accepting new patients | |
| Dickinson Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- josephsherry@tdh.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Ridgway, PA
- NPI 1164503322
-
- Local Education Agency (LEA)
- South Dayton, NY
- NPI 1750421475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242086400000",
"number": "1942485057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N MAIN ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169151630",
"telephone_number": "814-274-8651",
"fax_number": "814-274-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LINCOLN ST",
"city": "RIDGWAY",
"state": "PA",
"postal_code": "158531939",
"telephone_number": "814-776-0250",
"fax_number": "814-776-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERRY",
"first_name": "JOSEPH",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-08",
"last_updated": "2009-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "SHERRY",
"middle_name": "EDWARD",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ridgway, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.