STILLWATER THERAPY LCSW P.C.
NPI 1053550624
Social Worker - Clinical in Bay Shore, NY
About Stillwater Therapy Lcsw P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STILLWATER THERAPY LCSW P.C. (NPI 1053550624) is a healthcare organization registered as a clinical in Bay Shore, New York and active in the NPI registry since February 2009. The organization lists Shafer Zysman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stillwater Therapy Lcsw P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Stillwater Therapy Lcsw P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stillwater Therapy Lcsw P.C.'s NPI number?
The NPI number for Stillwater Therapy Lcsw P.C. is 1053550624. It was assigned to this organization in the NPPES registry on February 5, 2009.
Where is Stillwater Therapy Lcsw P.C. located?
Stillwater Therapy Lcsw P.C. is located at 1840 Union Blvd, Bay Shore, NY 11706. The listed phone number is (631) 647-7885.
What is Stillwater Therapy Lcsw P.C.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Stillwater Therapy Lcsw P.C. enrolled in Medicare?
Yes. Stillwater Therapy Lcsw P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Stillwater Therapy Lcsw P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Stillwater Therapy Lcsw P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Stillwater Therapy Lcsw P.C. was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Stillwater Therapy Lcsw P.c. · NPI 1053550624
Clinical organization in Bay Shore, New York. Organization record, active in the CMS NPPES registry since February 5, 2009.
## Identity
- **NPI:** 1053550624 (Entity type: Organization)
- **Enumerated:** February 5, 2009
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Shafer Zysman, PRESIDENT
## Practice location
- **Address:** 1840 UNION BLVD, Bay Shore, NY 11706-7932
- **Phone:** (631) 647-7885 · **Fax:** (631) 647-7893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1053550624) · Data from the CMS NPPES public registry.