SHANNON SADLER LCSW
NPI 1699492645
Social Worker - Clinical in Staten Island, NY

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
777 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 668-8094 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Sadler Lcsw NPPES

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

SHANNON SADLER LCSW (NPI 1699492645) is an individual clinical provider in Staten Island, New York, licensed in New York (094078) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2011).

NPPES Registry Identity

NPI1699492645
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON SADLERCredential: LCSW
Location Address777 SEAVIEW AVEStaten Island, NY 10305-3409
Mailing Address2 Cedar Brook DrSomerset, NJ 08873-2810
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2011
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1699492645 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 · 094078
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.
777 SEAVIEW AVE, Staten Island, NY 10305

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Sadler Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385017987
PECOS Enrollment IDI20230301002573
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Sadler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1110 SOUTH AVE STE 404
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 34 clinicians in this Medicare group
Mental Health
1110 SOUTH AVE STE 404
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 131 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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 $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

Registered Nurse
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker (Clinical)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Registered Nurse (Psychiatric/Mental Health)
777 SEAVIEW AVE
STATEN ISLAND, NY 10305
Social Worker
777 SEAVIEW AVE
STATEN ISLAND, NY 10305

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 Sadler's NPI number?

The NPI number for Shannon Sadler is 1699492645. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Shannon Sadler located?

Shannon Sadler practices at 777 Seaview Ave, Staten Island, NY 10305. The listed phone number is (718) 668-8094.

What is Shannon Sadler's specialty?

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

Is Shannon Sadler enrolled in Medicare?

Yes. Shannon Sadler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shannon Sadler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Sadler reassigns Medicare benefits to 2 organizations: Integrity Psychological Services, PLLC (Staten Island, NY) and Integrity Social Work Services LLC (Staten Island, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Sadler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Sadler was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.