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SHANNON NITZ LCSW
NPI 1487199550
Social Worker - Clinical in Long Island City, NY

Active since December 28, 2016
3990 46TH ST # 1, LONG ISLAND CITY, NY 11104(718) 679-8786 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2021, Dec 28, 2016 (2 updates tracked since 2016).

About Shannon Nitz Lcsw NPPES

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

SHANNON NITZ LCSW (NPI 1487199550) is an individual clinical provider in Long Island City, New York, licensed in New York (088665) and active in the NPI registry since December 2016. She maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1487199550
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON NITZCredential: LCSW
Location Address3990 46TH ST # 1Long Island City, NY 11104-1408
Mailing Address3990 46th St # 1Long Island City, NY 11104-1408 · (718) 679-8786
Phone(718) 679-8786
Sole ProprietorYes
Enumeration DateDecember 28, 2016
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1487199550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 088665✔ Licensed in WA · SC60566286
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.
3990 46TH ST # 1, Long Island City, NY 11104
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Other Names 1

Other Name (5)Gwendolyn Nitz Lcsw

Secondary Practice Location 1

Location 12600 SW Holden StSeattle, WA 98126-3505 · Phone (718) 679-8786

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 Shannon Nitz's NPI number?

The NPI number for Shannon Nitz is 1487199550. It was assigned to this individual provider in the NPPES registry on December 28, 2016. The provider is also known as Gwendolyn Nitz Lcsw.

Where is Shannon Nitz located?

Shannon Nitz practices at 3990 46th St # 1, Long Island City, NY 11104. The listed phone number is (718) 679-8786.

What is Shannon Nitz's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Nitz was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.