Michelle Elizabeth Shand, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

500 Peconic St Apt 255B
Ronkonkoma, NY 11779-7156

Phone

(516) 319-8714

NPI assigned

Jul 20, 2021

Last updated

Jul 20, 2021By the provider in NPPES

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

Other names 1

• Michelle Elizabeth Kirkpatrick Former name

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brooklyn Womens and Family Counseling Services LCSW PLLCGroup PAC ID 5496645921, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brooklyn Womens & Family Counseling Services LCSW PLLC

  • Social Worker
  • Brooklyn, NY
  • NPI 1700837580
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1740853605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 255B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797156",
            "telephone_number": "516-319-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PECONIC ST APT 255B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797156",
            "telephone_number": "516-319-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAND",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KIRKPATRICK",
            "middle_name": "ELIZABETH",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frank S Segreto, MD
• Jessica Morgan Seidman
• Karen Serrell
• Jaweria Shafiq, OT
• Gazi Shahnaser
• Rakesh Kumar Sharma, M.D.
• Catherine Theresa Shea, RN
• Ann M. Shehr, LMHC
• Melinda Kathleen Sheridan-Viquez, D.M.D.
• Erum Fatimah Shigri

• Mental Health Counselor in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.