Individual provider Active NPI

Shawn L Cammarota, LMHC

  • Clinical Social Worker
  • Warwick, NY
National Provider Identifier
1891475950
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
013730 Issued in NY
Practice address
2 Overlook Dr
Warwick, NY 10990-1810
Phone
(973) 271-6930
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 013730 NY Primary

Addresses

Primary practice location

2 Overlook Dr
Warwick, NY 10990-1810

Mailing address

3 Robin Brae
Warwick, NY 10990-1102
Phone (973) 271-6930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 9, 2024 through Sep 9, 2026

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1891475950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROBIN BRAE",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901102",
            "telephone_number": "973-271-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK DR",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901810",
            "telephone_number": "973-271-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMAROTA",
        "first_name": "SHAWN",
        "middle_name": "L",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "013730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.