Individual provider Active NPI

Shannon Lee Foreshee, LMSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1487360608
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112273-01 Issued in NY
Practice address
201 Bryson Ave
Staten Island, NY 10314-1922
Phone
(917) 697-0311
NPI assigned
Jan 31, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112273-01 NY
Social Worker 104100000X 112273-01 NY Primary

Addresses

Primary practice location

201 Bryson Ave
Staten Island, NY 10314-1922

Mailing address

201 Bryson Ave
Staten Island, NY 10314-1922
Phone (917) 697-0311

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
I20251110000790 NY Practitioner - Clinical Social Worker 8123518974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM 2673 Unit
Suite 146
Canyon Lake, TX 78133-4765

201 Bryson Ave
Staten Island, NY 10314-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112273-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Empathy Licensed Clinical Social Work PLLC CurrentSince Aug 7, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1487360608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "917-697-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "917-697-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESHEE",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "112273-01",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112273-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.