MRS. TACEY A SHANNON LMSW
NPI 1992101505
Social Worker in Glens Falls, NY

Q: What is Tacey Shannon's NPI number?

The NPI number for Tacey Shannon is 1992101505. It was assigned to this individual provider in the NPPES registry on November 9, 2014.

Q: What is Tacey Shannon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tacey Shannon was last updated on November 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 09, 2014PECOS EnrolledAccepts Medicare Assignment

5 PINE ST, GLENS FALLS, NY 12801(518) 745-0079(518) 745-4291 Get Directions Write a Review

NPPES record last updated: November 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tacey A Shannon Lmsw NPPES

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

MRS. TACEY A SHANNON LMSW (NPI 1992101505) is an individual social worker in Glens Falls, New York, licensed in New York (076489-1) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1992101505

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. TACEY A SHANNONCredential: LMSW

Location Address5 PINE STGlens Falls, NY 12801-3502

Mailing Address5 Pine StGlens Falls, NY 12801-3502 · (518) 745-0079 · Fax (518) 745-4291

Phone(518) 745-0079

Fax(518) 745-4291

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateNovember 9, 2014

✔ NPI 1992101505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 076489-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

5 PINE ST, Glens Falls, NY 12801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Mrs. Tacey A Shannon Lmsw 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 ID42567166

PECOS Enrollment IDI20180720001070

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.

Other Providers at the Same Location NPPES 10

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

OSIKA AND SCARANO PSYCHOLOGICAL SERVICES PC

Psychologist (Clinical Child & Adolescent)