Active NPI
Shaun Patrick Crimmins, LCSW-R
- Clinical Social Worker
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-082664
- Practice address
- 331 Alberta Dr Ste 108
Amherst, NY 14226-1813 - Phone
- (716) 650-4797
- Fax
- (716) 608-1437
- NPI assigned
- Sep 17, 2010
- Last updated
- Apr 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082664 | NY | |
| Clinical Social Worker | 1041C0700X | R-082664 | NY | Primary |
Addresses
Primary practice location
331 Alberta Dr Ste 108
Amherst, NY 14226-1813
Mailing address
331 Alberta Dr Ste 108
Amherst, NY 14226-1813
Phone (716) 650-4797
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
331 Alberta Dr
Suite 108
Amherst, NY 14226-1813
Phone (716) 650-4797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082664 | NY | MD | Social Worker |
| R-082664 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaun Crimmins LCSW, PLLC | Clinical | Current | Accepting new patients |
Locations
1416 Sweet Home Rd
Ste 1
Buffalo, NY 14228
Phone (716) 235-3750
331 Alberta Dr
Ste 108
Buffalo, NY 14226
Phone (716) 218-8224
3435 Harlem Rd
Ste 3
Cheektowaga, NY 14225
Phone (716) 217-6112
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Amherst, NY
- NPI 1467007401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1073821658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 ALBERTA DR STE 108",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261813",
"telephone_number": "716-650-4797",
"fax_number": "716-608-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 ALBERTA DR STE 108",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261813",
"telephone_number": "716-650-4797",
"fax_number": "716-608-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIMMINS",
"first_name": "SHAUN",
"middle_name": "PATRICK",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "082664",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-082664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.