Individual provider Active NPI

Shawna M Morasco, LCSW-R

  • Clinical Social Worker
  • Wampsville, NY
National Provider Identifier
1316141252
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078779 Issued in NY
Practice address
138 North Court St
Wampsville, NY 13163
Phone
(315) 366-2327
NPI assigned
Jun 13, 2007
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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 078779 NY Primary

Addresses

Primary practice location

138 North Court St
Wampsville, NY 13163

Mailing address

138 North Court Street
Wampsville, NY 13163
Phone (315) 366-2327

Other identifiers 2

IdentifierTypeStateIssuer
1041C0700XOtherNYMSW
1073629358MedicaidNY

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
I20120417000076 NY Practitioner - Clinical Social Worker 9537320676 Practice locations: Clay, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1316141252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 NORTH COURT STREET",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-366-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NORTH COURT ST",
            "city": "WAMPSVILLE",
            "state": "NY",
            "postal_code": "13163",
            "telephone_number": "315-366-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORASCO",
        "first_name": "SHAWNA",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSW",
            "identifier": "1041C0700X",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073629358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wampsville, NY

Sources for this page

Verify at the official NPI Registry.