Deborah Shaw, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077278 Issued in NY

Practice address

24302 Northern Blvd
Douglaston, NY 11362-1150

Phone

(718) 423-6200

NPI assigned

Apr 13, 2011

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

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment Care Compare group NPD
• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment NPD
• Epilepsy Foundation of L.I.

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1962792754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 REVERE DR E",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012814",
            "telephone_number": "516-643-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NORTHERN BLVD",
            "city": "DOUGLASTON",
            "state": "NY",
            "postal_code": "113621150",
            "telephone_number": "718-423-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DEBORAH",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefany Lewy San Jose - Singca, OTR/L
• Jessica Scaringella
• Alla Schneider, LMHC
• Lisa Schumacher
• Sami Seo, DPT
• Eliezer Shlomovich, LCSW-R
• Samina Siddiqui, MD
• Golda Siovnov
• Maria K Skoupas, PHARM.D
• Abigail Smichok, OTR/L

• Clinical Social Worker in Douglaston, NY
• Providers in Douglaston, 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 Apr 13, 2011; 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.