Active NPI
Shanice Davis, LMSW
- Social Worker
- Catskill, NY
National Provider Identifier
1083424907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 119588
- Practice address
- 110 Jefferson HTS
Catskill, NY 12414-1248 - Phone
- (518) 719-0123
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 119588 | NY | Primary |
Addresses
Primary practice location
110 Jefferson HTS
Catskill, NY 12414-1248
Mailing address
3 Worth Ave
Hudson, NY 12534-3011
Phone (518) 821-2464
Other practice location 1
75 New Scotland Ave
Albany, NY 12208-3409
Phone (518) 549-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119588 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families Together Counseling Services, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Catskill, NY
- NPI 1518411768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741996800000",
"number": "1083424907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WORTH AVE",
"city": "HUDSON",
"state": "NY",
"postal_code": "125343011",
"telephone_number": "518-821-2464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 JEFFERSON HTS",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141248",
"telephone_number": "518-719-0123"
}
],
"practiceLocations": [
{
"address_1": "75 New Scotland Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122083409",
"country_code": "US",
"telephone_number": "518-549-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SHANICE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-03-15",
"certification_date": "2025-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "119588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.