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

Shaniece T Jefferson, MASTER

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831082023

Shaniece T Jefferson, MASTER is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

220 Heberton Ave
Staten Island, NY 10302-1415
Phone: (718) 448-1900
Fax: (718) 448-1901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Counselor Taxonomy 101Y00000X

Record details

NPI number1831082023
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASTER
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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