MEDICARE: MR. SHERMAN PHEIFFER LCSW, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst	000817	NY
2	1041C0700X	Clinical Social Worker	R030469	NY

General Provider Information

NPI Number	:	1578787818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SHERMAN PHEIFFER LCSW, LP

Provider Business Mailing Address
First Line	:	96 5TH AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7604
Country	:	US
Telephone Number	:	212-989-1969
Fax Number	:	212-989-1423

Provider Business Practice Location Address
First Line	:	96 5TH AVE APT 1C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7604
Country	:	US
Telephone Number	:	212-989-1969
Fax Number	:	212-989-1423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	09/11/2025

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