Shannon Yvette McDole, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

083085-01 Issued in NY

Practice address

15 Fortune Rd
West Middletown, NY 10941

Phone

(845) 235-6801

NPI assigned

Jan 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1669233326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 COUNTRY KNLS",
            "city": "CLINTONDALE",
            "state": "NY",
            "postal_code": "125155001",
            "telephone_number": "845-235-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FORTUNE RD",
            "city": "WEST MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-235-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOLE",
        "first_name": "SHANNON",
        "middle_name": "YVETTE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "083085-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhenya Horowitz
• Carrington James
• Jennifer Lackie-Shook, RN
• Christa Lloyd
• Maria Elena Machado, LPN
• Latasha Fiona Murray
• William Edward Patterson Jr.
• Kristy Rivera, LMSW
• Kayla Marie Savely, MHC-LP
• Jose Antonio Sepulveda Jr., REGISTERED NURSE

• Social Worker in West Middletown, NY
• Providers in West Middletown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.