Individual provider Active NPI

Shannon Faizy, LMSW

  • School Social Worker
  • Albany, NY
National Provider Identifier
1891406781
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
118104 Issued in NY
Practice address
6270 Johnston Rd
Albany, NY 12203-4309
Phone
(518) 456-3771
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 118104 NY Primary

Addresses

Primary practice location

6270 Johnston Rd
Albany, NY 12203-4309

Mailing address

6270 Johnston Rd
Albany, NY 12203-4309
Phone (518) 456-3771

Other practice location 1

2225 Western Ave
Guilderland, NY 12084-5712
Phone (518) 869-0293

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address faizys@guilderlandschools.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891406781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 JOHNSTON RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034309",
            "telephone_number": "518-456-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6270 JOHNSTON RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034309",
            "telephone_number": "518-456-3771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Guilderland",
            "state": "NY",
            "postal_code": "120845712",
            "country_code": "US",
            "telephone_number": "518-869-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIZY",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "118104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "faizys@guilderlandschools.net",
            "affiliation": "N",
            "endpointDescription": "Employer provided email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6270 Johnston Rd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122034309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.