MR. SHANE KEITH BROWN LCSW
NPI 1912216714
Social Worker - Clinical in East Syracuse, NY

Active since September 28, 2010PECOS Enrolled
302 UPTON ST, EAST SYRACUSE, NY 13057(315) 437-0586 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Shane Keith Brown Lcsw NPPES

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

MR. SHANE KEITH BROWN LCSW (NPI 1912216714) is an individual clinical provider in East Syracuse, New York, licensed in New York (080775) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912216714
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SHANE KEITH BROWNCredential: LCSW
Location Address302 UPTON STEast Syracuse, NY 13057-2308
Mailing Address302 Upton StEast Syracuse, NY 13057-2308 · (315) 437-0586
Sole ProprietorYes
Enumeration DateSeptember 28, 2010
Last NPPES UpdateNovember 22, 2013
NPI 1912216714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 080775
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 083318-1 (NY)
302 UPTON ST, East Syracuse, NY 13057

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. Shane Keith Brown Lcsw 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 13057 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.

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 Shane Brown's NPI number?

The NPI number for Shane Brown is 1912216714. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Where is Shane Brown located?

Shane Brown practices at 302 Upton St, East Syracuse, NY 13057. The listed phone number is (315) 437-0586.

What is Shane Brown's specialty?

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

Is Shane Brown enrolled in Medicare?

Yes. Shane Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Brown was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.