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MR. JOSEPH TIMOTHY SHANLY LCSW-R
NPI 1629370069
Social Worker - Clinical in Philadelphia, NY

Active since November 17, 2010PECOS Enrolled
32735 COUNTY ROUTE 29 STE A, PHILADELPHIA, NY 13673(315) 642-3142(315) 642-3249 Get Directions Write a Review

NPPES record last updated: November 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Joseph Timothy Shanly Lcsw-r NPPES

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

MR. JOSEPH TIMOTHY SHANLY LCSW-R (NPI 1629370069) is an individual clinical provider in Philadelphia, New York, licensed in New York (064470) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629370069
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JOSEPH TIMOTHY SHANLYCredential: LCSW-R
Location Address32735 COUNTY ROUTE 29 STE APhiladelphia, NY 13673-4210
Mailing Address913 Myrtle AveWatertown, NY 13601-4601 · (315) 783-9114 · Fax (315) 642-3249
Phone(315) 642-3142
Fax(315) 642-3249
Sole ProprietorYes
Enumeration DateNovember 17, 2010
✔ NPI 1629370069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 064470
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.
32735 COUNTY ROUTE 29 STE A, Philadelphia, NY 13673
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Other Identifiers 1

Medicaid1730480179NY

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. Joseph Timothy Shanly 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 13673 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.

Other Providers at the Same Location NPPES

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

ST LAWRENCE PSYCHIATRIC CENTER
Psychiatric Hospital
32735 COUNTY ROUTE 29 STE A
PHILADELPHIA, NY 13673
Jefferson County (315) 642-3142

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 Joseph Shanly's NPI number?

The NPI number for Joseph Shanly is 1629370069. It was assigned to this individual provider in the NPPES registry on November 17, 2010.

Where is Joseph Shanly located?

Joseph Shanly practices at 32735 County Route 29 Ste A, Philadelphia, NY 13673. The listed phone number is (315) 642-3142.

What is Joseph Shanly's specialty?

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

Is Joseph Shanly enrolled in Medicare?

Yes. Joseph Shanly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Shanly was last updated on November 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.