MRS. SHANTEL NICOLE SULLIVAN LMSW
NPI 1104166644
Social Worker in Potsdam, NY

Active since February 20, 2013PECOS Enrolled
50 LEROY ST, POTSDAM, NY 13676(315) 261-5411 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Shantel Nicole Sullivan Lmsw NPPES

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

MRS. SHANTEL NICOLE SULLIVAN LMSW (NPI 1104166644) is an individual social worker in Potsdam, New York, licensed in New York (0771741) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104166644
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. SHANTEL NICOLE SULLIVANCredential: LMSW
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address7 School StMassena, NY 13662-1713 · (315) 353-2572 · Fax (315) 353-2479
Sole ProprietorNo
Enumeration DateFebruary 20, 2013
NPI 1104166644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in NY · 0771741
Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

50 LEROY ST, Potsdam, NY 13676

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Shantel Nicole Sullivan Lmsw 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.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Radiology (Diagnostic Radiology)
50 LEROY ST
POTSDAM, NY 13676
Internal Medicine (Cardiovascular Disease)
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant (Medical)
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Nurse Practitioner
50 LEROY ST, CANTON POTSDAM HOSPITAL
POTSDAM, NY 13676
Anesthesiology
50 LEROY ST
POTSDAM, NY 13676
Physical Therapist
50 LEROY ST
POTSDAM, NY 13676
Physical Therapy Assistant
50 LEROY ST
POTSDAM, NY 13676
Registered Nurse
50 LEROY ST
POTSDAM, NY 13676
Counselor (Addiction (Substance Use Disorder))
50 LEROY ST
POTSDAM, NY 13676
Nurse Practitioner (Acute Care)
50 LEROY ST
POTSDAM, NY 13676
General Acute Care Hospital
50 LEROY ST
POTSDAM, NY 13676
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
Internal Medicine
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
Family Medicine
50 LEROY ST
POTSDAM, NY 13676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104166644, enumerated as an "individual" on February 20, 2013.

The provider is located at 50 LEROY ST POTSDAM, NY 13676 and the phone number is (315) 261-5411.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Oscar Health Plan of North Carolina, Inc and. Please consult your insurance carrier or call the provider to verify.