OrganizationActive
Smbm, Lcsw, PLLC
NPI 1275961237 · Community/Behavioral Health Agency · Fort Edward, NY
Provider details
- NPI number
- 1275961237
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shannon Brock Myles, Owner(518) 573-0239
- License
- 078314 (NY)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
46 Reynolds Rd
Fort Edward, NY 12828-9244
Phone: (518) 573-0239
Street-level locationGet directions
Mailing address
10 Foxhurst Dr
Queensbury, NY 12804-8488
Other names (DBA / former)
- Doing business as
- Adirondack Equine Assisted Psychotherapy, Lcsw
Registry dates
- Enumerated
- 2013-10-29
- Last updated
- 2013-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.