Provider Demographics
NPI:1114272234
Name:SHEER, JOSSELYN
Entity Type:Individual
Prefix:MS
First Name:JOSSELYN
Middle Name:
Last Name:SHEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 W END AVE APT 1N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-5602
Mailing Address - Country:US
Mailing Address - Phone:646-389-6348
Mailing Address - Fax:
Practice Address - Street 1:160 W END AVE APT 1N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-5602
Practice Address - Country:US
Practice Address - Phone:646-389-6348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-14
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJW172191938OtherAETNA