Individual provider Active NPI

Shaun Patrick Crimmins, LCSW-R

  • Clinical Social Worker
  • Amherst, NY
National Provider Identifier
1073821658
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-082664 Issued in NY
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150213000557 NY Practitioner - Clinical Social Worker 4880919810 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
082664NYMDSocial Worker
R-082664NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shaun Crimmins LCSW, PLLC Clinical CurrentSince Aug 8, 2019 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.

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

Verify at the official NPI Registry.