Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Dore A. Sheppard, PHD, LCSW

Individual provider Clinical Social Worker · NPI 1639208929

Dr. Dore A. Sheppard, PHD, LCSW is a Clinical Social Worker in Nyack, New York. Qualified in 1991, 35 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

53 S Broadway
Nyack, NY 10960-3834
Phone: (845) 358-6433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R039148-1 (NY)

Record details

NPI number1639208929
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCSW
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESFebruary 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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