Shawn Muthersbaugh LCSW PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHAWN MUTHERSBAUGH LCSW PLLC

Practice address

120 Defreest Dr Ste 175
Troy, NY 12180-7608

Phone

(518) 390-6890

Fax

(518) 326-0003

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Harris Muthersbaugh, LCSWNPI 1063404143

Title

Owner/Solo Private Practitioner

Phone

(518) 390-6890

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Harris Muthersbaugh, LCSW-R

  • Clinical Social Worker
  • Troy, NY
  • NPI 1063404143
  NPD Authorized official

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1407462948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEFREEST DR STE 175",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121807608",
            "telephone_number": "518-390-6890",
            "fax_number": "518-326-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DEFREEST DR STE 175",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121807608",
            "telephone_number": "518-390-6890",
            "fax_number": "518-326-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN MUTHERSBAUGH LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "MUTHERSBAUGH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER/SOLO PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "518-390-6890",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01645743",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shawnmuthersbaugh@icloud.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "120 Defreest Dr Ste 175",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121807608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Shagalski, MSED.
• Judith Anne Sharp, NPP
• Lyla Brynn Shaughnessy
• Cathleen Shaw-Hebert
• Elaine Marie Shaw, M.S.,ED, CCC-SLP
• Erin K Shay
• Sarah R Shea, DPT
• Dawn Sheares, LPN
• Helen R Shekerjian, RPH
• Stacey Lynn Shelhamer, MS ED

• Community/Behavioral Health Agency in Troy, NY
• Providers in Troy, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.