Michelle Lauren Ganshaw, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089967 Issued in NY

Practice address

240 Long Island Ave
Wyandanch, NY 11798-3123

Phone

(631) 782-6200

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Federation of Organizations for the Ny State Mentally Disabled, IncGroup PAC ID 6800823782, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Federation of Organizations for the Ny State Mentally Disabled Inc

  • Community/Behavioral Health Agency
  • West Babylon, NY
  • NPI 1346433307
  Medicare reassignment Care Compare group NPD
• Central Nassau Guidance & Counseling Services, Inc.

  • Community/Behavioral Health Agency
  • Hicksville, NY
  • NPI 1114928462

  Clinical

  Medicare reassignment NPD
• Risewell Community Services

  • Community/Behavioral Health Agency
  • Patchogue, NY
  • NPI 1073706032
  NPD
• Risewell Community Services

  • Counselor
  • Copiague, NY
  • NPI 1396102091
  NPD

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1013387299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FARMINGDALE ROAD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LONG ISLAND AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983123",
            "telephone_number": "631-782-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANSHAW",
        "first_name": "MICHELLE",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Fitzpatrick, R.N
• Foothurt Podiatry PC
• Ari Gabin, LMSW
• Jennifer Gabriele
• Ginger Galvez, LMSW
• Dania L Garcia Velasquez
• Tjada S Garvin
• Carly Gennaro, D.O
• Merlie L Gill, RN
• Grass Roots Realty LLC

• Clinical Social Worker in Wyandanch, NY
• Providers in Wyandanch, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.