NPIMap

Organization Active NPI

Legacy LCSW Counseling Services PC

  • Clinical Social Worker
  • Clifton Park, NY
National Provider Identifier
1396080339
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078968 Issued in NY
Legal business name
LEGACY LCSW COUNSELING SERVICES PC
Practice address
6 Chelsea PL Ste 103
Clifton Park, NY 12065-3236
Phone
(844) 253-4229
Fax
(518) 565-0533
NPI assigned
Dec 3, 2012
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Mr. Sherman S Stovall Jr., LCSWNPI 1669771812
Title
Owner
Phone
(518) 364-6632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078968 NY Primary

Addresses

Primary practice location

6 Chelsea PL Ste 103
Clifton Park, NY 12065-3236

Mailing address

10 Hampstead CT
Halfmoon, NY 12065-6249
Phone (518) 364-6632

Other practice location 1

855 Route 146 Ste 235
Clifton Park, NY 12065-3897
Phone (844) 253-4229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130802000610 NY Part B Supplier - Clinic/Group Practice 5193966166 Receives reassigned benefits from 14 practitioners
Practice locations: Clifton Park, NY

National Provider Directory

National Provider Directory

Locations

6 Chelsea Pl
Clifton Park, NY 12065
Phone (518) 383-1230

855 Route 146
Ste 235
Clifton Park, NY 12065
Phone (844) 253-4229

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1396080339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HAMPSTEAD CT",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120656249",
            "telephone_number": "518-364-6632",
            "fax_number": "518-565-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHELSEA PL STE 103",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653236",
            "telephone_number": "844-253-4229",
            "fax_number": "518-565-0533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 Route 146 Ste 235",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653897",
            "country_code": "US",
            "telephone_number": "844-253-4229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY LCSW COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "SHERMAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-364-6632",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.