MR. SHAUN EDWARD WILLIS LMSW
NPI 1457673451
Social Worker in Brentwood, NY

Q: What is Shaun Willis's NPI number?

The NPI number for Shaun Willis is 1457673451. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Q: What is Shaun Willis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Willis was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since February 18, 2010

998 CROOKED HILL RD, PILGRIM PSYCH CENTER BLDG #5, BRENTWOOD, NY 11717(631) 306-5869(631) 306-5886 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Shaun Edward Willis Lmsw NPPES

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

MR. SHAUN EDWARD WILLIS LMSW (NPI 1457673451) is an individual social worker in Brentwood, New York, licensed in New York (074650) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1457673451

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. SHAUN EDWARD WILLISCredential: LMSW

Location Address998 CROOKED HILL RD, PILGRIM PSYCH CENTER BLDG #5Brentwood, NY 11717-1019

Mailing Address998 Crooked Hill Rd, Pilgrim Psych Center Bldg #5Brentwood, NY 11717-1019 · (631) 306-5869 · Fax (631) 306-5886

Phone(631) 306-5869

Fax(631) 306-5886

Sole ProprietorNo

Enumeration DateFebruary 18, 2010

✔ NPI 1457673451 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 · 074650

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.

998 CROOKED HILL RD, Brentwood, NY 11717

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Other Providers at the Same Location NPPES 20

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

MRS. NICAURIS FERNANDEZ RN

Registered Nurse (Psychiatric/Mental Health, Adult)

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-3500

NANCY ROSENBERG

Registered Nurse (Psychiatric/Mental Health)

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-3500

AMALIE ETIENNE RN

Registered Nurse (Psychiatric/Mental Health)

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-3500

LAURA SHERELL CURRIE RN

Licensed Practical Nurse

998 CROOKED HILL RD
BRENTWOOD, NY 11717

Suffolk County (631) 761-3500

SERGIO M BERNADIN RN

Registered Nurse

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-3500

DR. MARC MENTIS M.D.

Psychiatry & Neurology (Psychiatry)

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-3016

MR. MICHAEL DAY FERGUSON LCSW

Social Worker (Clinical)

998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717

Suffolk County (631) 761-2204

KAREN M. O'KEEFE LCSW-R, CASAC

Social Worker (Clinical)

998 CROOKED HILL RD, BUILDING 56
W BRENTWOOD, NY 11717

Suffolk County (631) 761-2177

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 Shaun Willis's NPI number?

The NPI number for Shaun Willis is 1457673451. It was assigned to this individual provider in the NPPES registry on February 18, 2010.

Where is Shaun Willis located?

Shaun Willis practices at 998 Crooked Hill Rd Pilgrim Psych Center Bldg #5, Brentwood, NY 11717. The listed phone number is (631) 306-5869.

What is Shaun Willis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shaun Willis was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.