Active NPI
Shawn Thomas Sabella, L.M.S.W.
- Social Worker
- Plattsburgh, NY
National Provider Identifier
1659426534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 071106-1
- Practice address
- 63 Broad St
Plattsburgh, NY 12901-3315 - Phone
- (518) 563-8000
- NPI assigned
- Jan 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 071106-1 | NY | Primary |
Addresses
Primary practice location
63 Broad St
Plattsburgh, NY 12901-3315
Mailing address
153 Quaker Highlands Rd
Peru, NY 12972-5180
Phone (518) 335-8009
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071106-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659426534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 QUAKER HIGHLANDS RD",
"city": "PERU",
"state": "NY",
"postal_code": "129725180",
"telephone_number": "518-335-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 BROAD ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129013315",
"telephone_number": "518-563-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABELLA",
"first_name": "SHAWN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "L.M.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071106-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.