Shakespeare & Muscente LCSW, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

053368R Issued in NY

Legal business name

SHAKESPEARE & MUSCENTE LCSW, PLLC

Doing business as

Life Stages Counseling

Practice address

122 W Court St Ste 109
Ithaca, NY 14850-4165

Phone

(607) 256-4422

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Ann Muscente, LCSW-RNPI 1457451163

Title

Certified Social Worker

Phone

(607) 256-4422

Specialties & licenses 4

Addresses

Other names 1

• Life Stages Counseling Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 7

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

• Maria Ann Muscente, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1457451163
  Medicare reassignment Care Compare group Authorized official
• Leslie Shakespeare, LCSW

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1558461186
  Medicare reassignment Care Compare group NPD
• Travis F Winter, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1609199843
  Medicare reassignment Care Compare group NPD
• Lisa Diane Pate, LCSW

  • Clinical Social Worker
  • Leland, NC
  • NPI 1780907931

  NY

  Medicare reassignment Care Compare group NPD
• Rebecca Lynn Debell, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1174846307
  Medicare reassignment NPD
• James Leonard Haines-Burnham, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
  • NPI 1699894998
  Medicare reassignment NPD
• Deborah Heather Loewe, LCSW-R

  • Clinical Social Worker
  • Cortland, NY
  • NPI 1134442130
  Medicare reassignment NPD

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1609015536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COURT ST STE 109",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-256-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COURT ST STE 109",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504165",
            "telephone_number": "607-256-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKESPEARE & MUSCENTE LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MUSCENTE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED SOCIAL WORKER",
        "authorized_official_telephone_number": "607-256-4422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "053368R",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "PR053077-1",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "045779R",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "032365R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Stages Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Shah, PT, DPT
• Sapan Shah, M.D.
• Syed Jibran Shah, D.O
• Mohammad Ali Shahab, MBBS
• Hamid Saeed Shaikh
• Leslie Shakespeare, LCSW
• Neil Frederick Shallish, M.D.
• Devan Alexander Shambo, DPT
• Catherine Shane
• Xue-Cheng Shang

• Community/Behavioral Health Agency in Ithaca, NY
• Providers in Ithaca, 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 Jan 28, 2010; 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.