Shaun McLeod, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056837 Issued in NY

Practice address

12 Frazer Dr
Greenlawn, NY 11740-2007

Phone

(631) 793-2922

Fax

(718) 761-3017

NPI assigned

Dec 13, 2006

Sex

Male

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)

Enrolled

State licenses

Practice roles

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.

• Ash Psychological Services LLC

  • Clinical Psychologist
  • Huntington, NY
  • NPI 1447454913
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1851452718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FRAZER DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402007",
            "telephone_number": "631-793-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FRAZER DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402007",
            "telephone_number": "631-793-2922",
            "fax_number": "718-761-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "SHAUN",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Gennaro MD PC
• Rachel McCullough
• McEvilley Forever Young Wellness, LTD.
• Jamie McGuire
• Susan Jean McKenna, RRT
• Maria McRobb, RPAC
• Margo Posillico Messina, LCSW-R
• Michael S Buchholtz MD PC
• Michael S. Buchholtz, MD PC
• Diana Marie Milillo-Portugal, MHC

• Clinical Social Worker in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.