Stillwater Therapy LCSW P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RP25669-1 Issued in NY

Legal business name

STILLWATER THERAPY LCSW P.C.

Practice address

1840 Union Blvd
Bay Shore, NY 11706-7932

Phone

(631) 647-7885

Fax

(631) 647-7893

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Shafer ZysmanNPI 1093778144

Title

President

Phone

(631) 647-7885

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shafer H Zysman

  • Social Worker
  • Bay Shore, NY
  • NPI 1093778144
  Medicare reassignment NPD Authorized official
• Joelle Greene, LCSW

  • Clinical Social Worker
  • Bainbridge, NY
  • NPI 1114973419
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1053550624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067932",
            "telephone_number": "631-647-7885",
            "fax_number": "631-647-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067932",
            "telephone_number": "631-647-7885",
            "fax_number": "631-647-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER THERAPY LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "ZYSMAN",
        "authorized_official_first_name": "SHAFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-647-7885",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RP25669-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Stevens, RN
• Lisa Lorraine Stiles, LCSW-R
• Stillwater Group of America
• Stillwater Occupational Therapy & Social Work Group, PLLC
• Stillwater Psychological and Occupational Therapy Assoc PLLC
• Danielle Strafford, COTA/L
• Michael Streiter, M.D.
• Tida Stricoff-Calma, LCSW
• Colleen Stubbs
• Kim Sudama

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, 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 Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.