IndividualActive
Shannon Nitz, LCSW
NPI 1487199550 · Clinical Social Worker · Long Island City, NY
Provider details
- NPI number
- 1487199550
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SC60566286 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
3990 46th St # 1
Long Island City, NY 11104-1408
Phone: (718) 679-8786
Street-level locationGet directions
Mailing address
3990 46th St # 1
Long Island City, NY 11104-1408
Additional practice locations (1)
- 2600 Sw Holden StSeattle, WA 98126-3505Phone: (718) 679-8786
Registry dates
- Enumerated
- 2016-12-28
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.