Shanna Richey
Individual provider Active NPI Social Worker · Lloyd Harbor, NY
NPI 1043694110 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1043694110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 098812 (NY)
- Practice address
- 24 Camel Hollow Rd
Lloyd Harbor, NY 11743-1604 - Phone
- (631) 271-5440
- NPI assigned
- Jul 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210505002374 | NY | Order and Referring Only - Clinical Social Worker | 8729497631 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098812 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 098812 | NY | Yes |
Addresses
Primary practice location
24 Camel Hollow Rd
Lloyd Harbor, NY 11743-1604
Mailing address
24 Camel Hollow Rd
Lloyd Harbor, NY 11743-1604
Phone (631) 271-5440
Other providers in Lloyd Harbor, NY
- Christine McQuillen
- Jaime Meyer
- Donna O'Beirne
- Holland Grace O'Hara
- Paris Michele Pappas
- Randi Robbins
- Nicole Grae Rossi
- Andrea C Streater
- Susan Ann Taddonio
- Wei-Qian Wang
All providers in Lloyd Harbor, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.