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MR. SHAWN HARRIS MUTHERSBAUGH LCSW-R
NPI 1063404143
Social Worker - Clinical in Troy, NY

Active since August 16, 2005PECOS Enrolled
120 DEFREEST DR.,, 175, TROY, NY 12180(518) 390-6890(518) 374-6898 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shawn Harris Muthersbaugh Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHAWN HARRIS MUTHERSBAUGH LCSW-R (NPI 1063404143) is an individual clinical provider in Troy, New York, licensed in New York (R032125) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063404143
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHAWN HARRIS MUTHERSBAUGHCredential: LCSW-R
Location Address120 DEFREEST DR.,, 175Troy, NY 12180
Mailing Address120 Defreest Dr.,, 175Troy, NY 12180 · (518) 390-6890 · Fax (518) 374-6898
Phone(518) 390-6890
Fax(518) 374-6898
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 26, 2019
✔ NPI 1063404143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R032125
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License R032125 (NY)
120 DEFREEST DR.,, Troy, NY 12180
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Other Identifiers 1

Medicaid01645743NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Shawn Harris Muthersbaugh Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shawn Muthersbaugh's NPI number?

The NPI number for Shawn Muthersbaugh is 1063404143. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Shawn Muthersbaugh located?

Shawn Muthersbaugh practices at 120 Defreest Dr., 175, Troy, NY 12180. The listed phone number is (518) 390-6890.

What is Shawn Muthersbaugh's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shawn Muthersbaugh enrolled in Medicare?

Yes. Shawn Muthersbaugh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawn Muthersbaugh was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.