Shira Andrusier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089840 Issued in NY

Practice address

100 Route 59
Suffern, NY 10901-4927

Phone

(845) 697-1000

NPI assigned

Aug 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Derech Shalom Center Inc

  • Case Management Agency
  • Suffern, NY
  • NPI 1477295848

  NY

  Medicare reassignment NPD
• I.M.E.M. Clinical Associates LLC

  • Specialist
  • Lakewood, NJ
  • NPI 1538419148

  NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1144833765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014927",
            "telephone_number": "845-697-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUSIER",
        "first_name": "SHIRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Andino, LPN
• Andre J. Codispoti, M.D., P.C.
• Julie Andrews, P.A.
• Laura Andrucki Izzo, LCSW
• Andrus
• Lisa Andujar, RN
• Lynda Messina Angus, PT
• Anne Margolis, Midwife P.C.
• Moshe Apfel
• Apollo N Palomares MD PC

• All providers in Suffern, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.