Individual provider Active NPI

Shayna Espinal, LMSW

  • Social Worker
  • Queensbury, NY
National Provider Identifier
1174036164
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
099810 Issued in NY
Practice address
375 Bay Rd
Queensbury, NY 12804-3012
Phone
(518) 741-0043
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099810 NY Primary

Addresses

Primary practice location

375 Bay Rd
Queensbury, NY 12804-3012

Mailing address

375 Bay Rd
Queensbury, NY 12804-3012
Phone (518) 741-0043

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
I20240710000704 NY Practitioner - Clinical Social Worker 3971048364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Washington Association for Mental Health, IncGroup PAC ID 5496751034, 9 clinicians

Practice addresses (Care Compare)

3043 State Route 4
Hudson Falls, NY 12839-9632
Phone (518) 747-8243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099810NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Washington Association for Mental Health, Inc CurrentSince May 2, 2024 Accepting new patients

Locations

3043 State Route 4
Hudson Falls, NY 12839
Phone (518) 747-2284

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1174036164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043012",
            "telephone_number": "518-741-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 BAY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043012",
            "telephone_number": "518-741-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINAL",
        "first_name": "SHAYNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.