Shannon Shaw LCSW, PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SHANNON SHAW LCSW, PLLC

Practice address

112 Verbank Rd
Millbrook, NY 12545-6008

Phone

(845) 554-7066

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Shannon Shaw, LCSW-RNPI 1124390083

Title

Therapist

Phone

(845) 554-7066

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shannon Shaw

  • Social Worker
  • Torrington, CT
  • NPI 1124390083
  NPD Authorized official

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1093416943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 VERBANK RD",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456008",
            "telephone_number": "845-554-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 VERBANK RD",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125456008",
            "telephone_number": "845-554-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON SHAW LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "845-554-7066",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrianne Maire Sanicola
• Danielle Scalzo
• Lauren J Scelia, LCSW
• Kristina Schrader, PTA
• Laureen Rose Scianimanico, M.S., CCC-SLP
• Amelia Shillingford, NP
• Ian Shultis, PT, ATC
• Warren William Skov, MSW LCSWR
• Victor Y Soltis, DDS
• Dawn Spagna

• Social Worker in Millbrook, NY
• Providers in Millbrook, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.