Active NPI
Shirley Ann Stevens, LMSW
- Social Worker
- Remsen, NY
National Provider Identifier
1659247203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 127940
- Practice address
- 11154 Countryman Rd
Remsen, NY 13438-4223 - Phone
- (315) 240-5577
- NPI assigned
- Oct 13, 2025
- Last updated
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 127940 | NY | Primary |
Addresses
Primary practice location
11154 Countryman Rd
Remsen, NY 13438-4223
Mailing address
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127940 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Mental Health | Current | Accepting new patients |
Locations
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
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, 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": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1659247203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 BELL BLVD STE 203",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612097",
"telephone_number": "718-504-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11154 COUNTRYMAN RD",
"city": "REMSEN",
"state": "NY",
"postal_code": "134384223",
"telephone_number": "315-240-5577"
}
],
"practiceLocations": [
{
"address_1": "3635 Bell Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612097",
"country_code": "US",
"telephone_number": "718-504-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-13",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "127940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Remsen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.