Individual provider Active NPI

Schadique Escoffery

  • Clinical Social Worker
  • Queensbury, NY
National Provider Identifier
1073314472
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
156.0134401 Issued in VT
Practice address
25 Willowbrook Rd
Queensbury, NY 12804-5882
Phone
(518) 926-7100
NPI assigned
Mar 21, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 156.0134401 VT Primary

Addresses

Primary practice location

25 Willowbrook Rd
Queensbury, NY 12804-5882

Mailing address

22 US Oval Ste 100
Plattsburgh, NY 12903-5901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20260115000686 VT Practitioner - Clinical Social Worker 5991281313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 291943
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
156.0134401VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Savida Health, PC CurrentSince Nov 9, 2025 Accepting new patients
Savida Health, PC CurrentSince Nov 9, 2025 Accepting new patients

Locations

655 Main St
Ste 2
Bennington, VT 05201
Phone (802) 448-5105

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1073314472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL STE 100",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WILLOWBROOK RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045882",
            "telephone_number": "518-926-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOFFERY",
        "first_name": "SCHADIQUE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "156.0134401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.