MR. JOSEPH TIMOTHY SHANLY (NPI# 1629370069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629370069 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH TIMOTHY SHANLY |
| Credential | LCSW-R |
| Practice Address |
32735 County Route 29 Ste A Philadelphia NY 13673-4210 |
| Mailing Address |
913 Myrtle Ave Watertown NY 13601-4601 |
| Practice Telephone | 3156423142 |
| Practice Fax Number | 3156423249 |
| Mailing Telephone | 3157839114 |
| Mailing Fax Number | 3156423249 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
064470 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1730480179 | 05 |
| Street Address |
32735 COUNTY ROUTE 29 STE A |
| City | PHILADELPHIA |
| State | NY |
| Zip Code | 13673-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730480179 | St Lawrence Psychiatric Center | Psychiatric Hospital | 32735 County Route 29 Ste A, Philadelphia, NY 13673-4210 | 2010-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194002329 | Catherine Ann Slocum-bell | Speech-Language Pathologist | 32735a County Route 29, Philadelphia, NY 13673 | 2011-11-16 |
| 1225331200 | Indian River Ambulance Service Inc | Ambulance | 1 Antwerp Street, Philadelphia, NY 13673 | 2010-12-13 |
| 1720299654 | Carthage Area Hospital Inc. | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2007-05-24 |
| 1114082856 | Indian River Central School District | Local Education Agency (LEA) | 32735b County Rt 29, Philadelphia, NY 13673 | 2006-12-22 |
| 1922004225 | Frederick G Tontarski | Physician Assistant | 32787 Us Rt 11, Philadelphia, NY 13673 | 2005-06-22 |
| 1255974234 | Elizabeth Megan Czigler | Physical Therapist | 32787 Us Route 11, Philadelphia, NY 13673 | 2019-10-23 |
| 1124535604 | Carthage Area Hospital Inc | Clinic/Center | 32787 Us Route 11, Philadelphia, NY 13673 | 2018-01-05 |
| 1396178018 | Valerie Christine Gamble | Physical Therapist | 32787 Us Rt 11, Philadelphia, NY 13673 | 2013-08-16 |
| 1649598749 | Kellie Lynn Schirmer | Licensed Practical Nurse | 3 Main St., Philadelphia, NY 13673 | 2010-05-13 |
| 1669490694 | Mirza M Ashraf & Mulazim H Khan | Physician Assistant | 32787 Us Rt 11, Philadelphia, NY 13673 | 2006-07-17 |
| Find all providers in zip 13673 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538657 | Noel Mitchell | Social Worker | 410 Memphis St, Philadelphia, PA 19125-2642 | 2020-11-03 |
| 1326649963 | Sarah Michelle Waxman | Social Worker | 2550 Grays Ferry Ave, Philadelphia, PA 19146-2331 | 2020-11-02 |
| 1467051540 | Maya Cox | Social Worker | 4045 Green St, Philadelphia, PA 19104-1759 | 2020-10-20 |
| 1679170575 | Wendy Diane Nickerson | Social Worker | 741 S 2nd St, Philadelphia, PA 19147-3425 | 2020-10-04 |
| 1497362404 | Lora M Rhodes | Social Worker | 925 Chestnut St Ste 321a, Philadelphia, PA 19107-4216 | 2020-09-24 |
| 1841806395 | Molly Vocino | Social Worker | 925 Chestnut St Ste 422u, Philadelphia, PA 19107-4216 | 2020-09-21 |
| 1306452065 | Rebecca Cammy | Social Worker | 925 Chestnut St # 422w, Philadelphia, PA 19107-4216 | 2020-09-18 |
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1265045272 | Lisa Gabrielle Schilansky | Social Worker | 4813 Springfield Ave Apt 1, Philadelphia, PA 19143-3409 | 2020-08-28 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 13673 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.