Central Adirondack Counseling LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CENTRAL ADIRONDACK COUNSELING LCSW PLLC

Practice address

333 Glen St Ste 100
Glens Falls, NY 12801-3578

Phone

(518) 307-9292

Fax

(518) 615-5801

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tacey A Shannon, LCSWRNPI 1992101505

Title

Lcswr

Phone

(518) 307-9292

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• Tacey A Shannon, LMSW

  • Social Worker
  • Glens Falls, NY
  • NPI 1992101505
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1255917043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MELDON CIR",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045857",
            "telephone_number": "518-307-9292",
            "fax_number": "518-615-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GLEN ST STE 100",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013578",
            "telephone_number": "518-307-9292",
            "fax_number": "518-615-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ADIRONDACK COUNSELING LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "TACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSWR",
        "authorized_official_telephone_number": "518-307-9292",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992101505",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "tacey.shannon@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 Meldon Cir",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128045857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catholic Charities of Diocese of Albany
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• Erica Jean Celeste, LMT
• Center for Recovery
• Kathy Ann Cerny, LCSW-R
• Cindy Cerro-Conlon, M.D.
• Katelyn Cerrone, PA-C
• Marissa Elaine Chaffee, PA-C
• Joan Chambers

• Clinical Social Worker in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.