Individual provider Active NPI

Shantie Schwarte, LCSW

  • Clinical Social Worker
  • Deer Park, NY
National Provider Identifier
1720228604
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078999-1 Issued in NY
Practice address
144 Lake Ave
Deer Park, NY 11729-4219
Phone
(646) 932-1749
NPI assigned
Mar 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078999-1 NY Primary

Addresses

Primary practice location

144 Lake Ave
Deer Park, NY 11729-4219

Mailing address

7612 270TH St
New Hyde Park, NY 11040-1418
Phone (646) 932-1749

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
I20131105001314 NY Practitioner - Clinical Social Worker 4789819459 Reassigns benefits to 2 organizations
Practice locations: Deer Park, NY; Forest Hills, NY; New Hyde Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

144 Lake Ave
Deer Park, NY 11729-4219
Phone (646) 932-1749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078999-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center, Inc. Clinical CurrentSince Jul 21, 2013 Accepting new patients
The Child Center of Ny, Inc. CurrentSince Oct 31, 2013 Accepting new patients
Elizabeth McGreal, LCSW Clinical PastSince Jun 6, 2021 Accepting new patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients

Locations

9131 Queens Blvd
Ste 222
Elmhurst, NY 11373
Phone (718) 896-3400

11835 Queens Blvd
Fl 6
Forest Hills, NY 11375
Phone (718) 851-7770

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 4

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1720228604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7612 270TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401418",
            "telephone_number": "646-932-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LAKE AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294219",
            "telephone_number": "646-932-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTE",
        "first_name": "SHANTIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

Verify at the official NPI Registry.