Shannon Brock, LCSWR
NPI 1639362635 · Clinical Social Worker · Fort Edward, NY
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Brock, LCSWR is a Clinical Social Worker provider in Fort Edward, NY (NPI 1639362635).
Provider details
- NPI number
- 1639362635
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSWR
- Sex
- Female
- Sole proprietor
- No
- License
- 078314 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2007-08-22
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Shannon Brock's NPI number?
- Shannon Brock's National Provider Identifier (NPI) is 1639362635, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Brock's specialty?
- Shannon Brock is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Brock located?
- Shannon Brock's practice location on file with NPPES is 46 Reynolds Rd, Fort Edward, NY 12828-9217.
- What is Shannon Brock's phone number?
- The practice phone number listed in the NPPES registry for Shannon Brock is (518) 573-0239.
- Does Shannon Brock accept Medicare?
- Shannon Brock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Brock's NPI active?
- Yes — Shannon Brock's NPI (1639362635) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.