Individual provider Active NPI

Russell Brian Shelkowitz, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1013065440
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
251 Richmond Hill Road
Heartland Psychological Svces PC
Staten Island, NY 10314
Phone
(718) 494-9397
Fax
(718) 761-1000
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary
Clinical Social Worker 1041C0700X 048935 NY
Social Worker 104100000X R048935 1 NY

Addresses

Primary practice location

251 Richmond Hill Road
Heartland Psychological Svces PC
Staten Island, NY 10314

Mailing address

1346 Centre Rd
Rhinebeck, NY 12572-3268
Phone (917) 838-3607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009000714 NY Practitioner - Clinical Social Worker 7315255460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048935 1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Medical Services, P.C. Past Accepting new patients
Thompson Counseling Services LCSW, PLLC Clinical Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1013065440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 CENTRE RD",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723268",
            "telephone_number": "917-838-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 RICHMOND HILL ROAD",
            "address_2": "HEARTLAND PSYCHOLOGICAL SVCES PC",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10314",
            "telephone_number": "718-494-9397",
            "fax_number": "718-761-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELKOWITZ",
        "first_name": "RUSSELL",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "048935",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R048935 1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.