Individual provider Active NPI

Susan Voss Shanley, LCSW

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1093776007
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0470541 Issued in NY
Practice address
163 Woodlawn Ave
Saratoga Springs, NY 12866-1523
Phone
(518) 581-9250
Fax
(518) 581-9250
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R0470541 NY Primary

Addresses

Primary practice location

163 Woodlawn Ave
Saratoga Springs, NY 12866-1523

Mailing address

163 Woodlawn Ave
Saratoga Springs, NY 12866-1523
Phone (518) 587-4239

Other identifiers 1

IdentifierTypeStateIssuer
52948MedicaidNY

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
I20040416001146 NY Practitioner - Clinical Social Worker 5698760841 Practice locations: Saratoga Springs, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

163 Woodlawn Ave
Saratoga Springs, NY 12866-1523
Phone (518) 581-9250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0470541NYMDClinical Social Worker
047054NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093776007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 WOODLAWN AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661523",
            "telephone_number": "518-587-4239",
            "fax_number": "518-587-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 WOODLAWN AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661523",
            "telephone_number": "518-581-9250",
            "fax_number": "518-581-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANLEY",
        "first_name": "SUSAN",
        "middle_name": "VOSS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0470541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.