SHELBY KAUFMANN LCSW
NPI 1720626674
Social Worker - Clinical in Queensbury, NY

Active since December 11, 2019PECOS EnrolledAccepts Medicare Assignment
25 WILLOWBROOK RD, QUEENSBURY, NY 12804(518) 926-7100 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2023, Dec 11, 2019 (2 updates tracked since 2019).

About Shelby Kaufmann Lcsw NPPES

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

SHELBY KAUFMANN LCSW (NPI 1720626674) is an individual clinical provider in Queensbury, New York, licensed in New York (095358) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720626674
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY KAUFMANNCredential: LCSW
Location Address25 WILLOWBROOK RDQueensbury, NY 12804-5882
Mailing Address140 Beekman St # 1Saratoga Springs, NY 12866-3025 · (847) 420-5258
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 11, 2019
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
NPI 1720626674 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 · 095358
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.
25 WILLOWBROOK RD, Queensbury, NY 12804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shelby Kaufmann 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 ID8921465501
PECOS Enrollment IDI20230613002834
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 12804 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 20

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

Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Counselor (Mental Health)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Clinic/Center (Recovery Care)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Licensed Practical Nurse
25 WILLOWBROOK RD
QUEENSBURY, NY 12804
Social Worker
25 WILLOWBROOK RD
QUEENSBURY, NY 12804

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 Shelby Kaufmann's NPI number?

The NPI number for Shelby Kaufmann is 1720626674. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Shelby Kaufmann located?

Shelby Kaufmann practices at 25 Willowbrook Rd, Queensbury, NY 12804. The listed phone number is (518) 926-7100.

What is Shelby Kaufmann's specialty?

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

Is Shelby Kaufmann enrolled in Medicare?

Yes. Shelby Kaufmann 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.

When was this NPI record last updated?

The NPPES record for Shelby Kaufmann was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.