Individual provider Active NPI

Susan Shaw, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1457882045
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092935 Issued in NY
Practice address
131 Warburton Ave
C/O WJCS DSS Satellite Office
Yonkers, NY 10701-2721
Phone
(914) 231-2590
Fax
(914) 231-2125
NPI assigned
Mar 24, 2017
Last updated
Mar 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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 092935 NY Primary

Addresses

Primary practice location

131 Warburton Ave
C/O WJCS DSS Satellite Office
Yonkers, NY 10701-2721

Mailing address

131 Warburton Ave
C/O WJCS DSS Satellite Office
Yonkers, NY 10701-2721
Phone (914) 231-2590

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
I20220330000468 NY Practitioner - Clinical Social Worker 8527454677 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Dec 8, 2025 Accepting new patients
Westchester Jewish Community Services Inc. CurrentSince Feb 24, 2022 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Apr 6, 2023 Accepting new patients

Locations

141 N Central Ave
Hartsdale, NY 10530
Phone (914) 949-6761

300 Community Dr
Manhasset, NY 11030

845 N Broadway
White Plains, NY 10603

131 Warburton Ave
Yonkers, NY 10701
Phone (914) 231-2590

131 Warburton Ave
Ofc
Yonkers, NY 10701
Phone (914) 231-2590

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1457882045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WARBURTON AVE",
            "address_2": "C/O WJCS DSS SATELLITE OFFICE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012721",
            "telephone_number": "914-231-2590",
            "fax_number": "914-231-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WARBURTON AVE",
            "address_2": "C/O WJCS DSS SATELLITE OFFICE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012721",
            "telephone_number": "914-231-2590",
            "fax_number": "914-231-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.