MR. SHAWN EDMONTSON CASAC-T
NPI 1225485345
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since May 18, 2016
2367-69 SECOND AVENUE, NEW YORK, NY 10035(212) 876-2300(212) 722-7618 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shawn Edmontson Casac-t NPPES

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

MR. SHAWN EDMONTSON CASAC-T (NPI 1225485345) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (31064) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1225485345
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SHAWN EDMONTSONCredential: CASAC-T
Location Address2367-69 SECOND AVENUENew York, NY 10035
Mailing Address70 Malcolm X Blvd, Apt. 11jNew York, NY 10026-3001 · (212) 876-2300 · Fax (212) 722-7618
Fax(212) 722-7618
Sole ProprietorNo
Enumeration DateMay 18, 2016
NPI 1225485345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NY · 31064
2367-69 SECOND AVENUE, New York, NY 10035

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
2367-69 SECOND AVENUE
NEW YORK, NY 10035
Community/Behavioral Health
2367-69 SECOND AVENUE
NEW YORK, NY 10035
Social Worker (Clinical)
2367-69 SECOND AVENUE
NEW YORK, NY 10035

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 Edmontson's NPI number?

The NPI number for Shawn Edmontson is 1225485345. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Shawn Edmontson located?

Shawn Edmontson practices at 2367-69 Second Avenue, New York, NY 10035. The listed phone number is (212) 876-2300.

What is Shawn Edmontson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shawn Edmontson was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.