Michelle Scantlebury, LCSWR, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080914 Issued in NY

Practice address

21 Georgia St
Valley Stream, NY 11580-2224

Phone

(718) 415-2678

NPI assigned

Dec 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Common Practice Counseling LCSW PLLC

  • Clinical Social Worker
  • Valley Stream, NY
  • NPI 1710558879
  NPD Authorized official

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1033448535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GEORGIA ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802224",
            "telephone_number": "718-415-2678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GEORGIA ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802224",
            "telephone_number": "718-415-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANTLEBURY",
        "first_name": "MICHELLE",
        "credential": "LCSWR, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080914",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01013818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryam Sattar, MA,CCC/SLP
• Beverly Angela Saunders-Medford
• Joy Saunders
• Madhu Saxena, M.D.
• SBD Pharmacy Inc
• Carol Schattner
• Jennifer Scheu, MA
• Emily Schiffman
• Nicolas Tyler Schlegel, PA-C
• Eric Schleikorn, MD

• Clinical Social Worker in Valley Stream, NY
• Providers in Valley Stream, 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 Oct 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.