Individual provider Active NPI

Shannon Dunn, LMSW CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Orchard Park, NY
National Provider Identifier
1841667490
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3176 Abbott Rd Ste 500
Orchard Park, NY 14127-1069
Phone
(716) 822-2117
Fax
(716) 822-8165
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P110049 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

3176 Abbott Rd Ste 500
Orchard Park, NY 14127-1069

Mailing address

3176 Abbott Rd BLDG a
Orchard Park, NY 14127-1069
Phone (716) 822-2117

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
I20251209000425 NY Practitioner - Clinical Social Worker 4789178757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shurmatz Counseling, LCSW, PCGroup PAC ID 1153651179, 19 clinicians

Practice addresses (Care Compare)

2355 Union Rd
Suite 200
Cheektowaga, NY 14227-2234
Phone (716) 217-6112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P110049NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shurmatz Counseling LCSW PC CurrentSince Nov 12, 2025 Accepting new patients

Locations

2355 Union Rd
Ste 200
Cheektowaga, NY 14227
Phone (716) 217-6112

950A Union Rd
Ste 328
West Seneca, NY 14224
Phone (716) 217-6112

6225 Sheridan Dr
Ste 222
Williamsville, NY 14221
Phone (716) 217-6112

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1841667490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD BLDG A",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD STE 500",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117",
            "fax_number": "716-822-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "SHANNON",
        "credential": "LMSW CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P110049",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.