Mr Joseph Timothy Shanly, LCSW-R - Medicare Clinical Social Worker in Philadelphia, NY

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Mr Joseph Timothy Shanly, LCSW-R is a medicare enrolled "Social Worker - Clinical" provider in Philadelphia, New York. His current practice location is 32735 County Route 29 Ste A, Philadelphia, New York. You can reach out to his office (for appointments etc.) via phone at (315) 642-3142.

Mr Joseph Timothy Shanly is licensed to practice in New York (license number 064470) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629370069.

Contact Information

Mr Joseph Timothy Shanly, LCSW-R
32735 County Route 29 Ste A,
Philadelphia, NY 13673-4210
(315) 642-3142
(315) 642-3249

Map and Direction




Healthcare Provider's Profile

Full NameMr Joseph Timothy Shanly
GenderMale
SpecialitySocial Worker - Clinical
Location32735 County Route 29 Ste A, Philadelphia, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629370069
  • Provider Enumeration Date: 11/17/2010
  • Last Update Date: 11/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7618237900
  • Enrollment ID: I20180206000976

Medical Identifiers

Medical identifiers for Mr Joseph Timothy Shanly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629370069NPI-NPPES
1730480179MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 064470 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Joseph Timothy Shanly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Joseph Timothy Shanly, LCSW-R
913 Myrtle Ave,
Watertown, NY 13601-4601

Ph: (315) 783-9114		Mr Joseph Timothy Shanly, LCSW-R
32735 County Route 29 Ste A,
Philadelphia, NY 13673-4210

Ph: (315) 642-3142

Reviews and Comments


Social Worker in Philadelphia, NY


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.