MEDICARE: MS. HENRIETTA LAWLER SHANNON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	44SC05360500	NJ
2	1041C0700X	Clinical Social Worker	076171-1	NY

General Provider Information

NPI Number	:	1215122700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HENRIETTA LAWLER SHANNON LCSW

Provider Business Mailing Address
First Line	:	821 WATSON HOLLOW RD
Second Line	:
City	:	WEST SHOKAN
State	:	NY
Zip	:	12494-5431
Country	:	US
Telephone Number	:	917-302-7657
Fax Number	:

Provider Business Practice Location Address
First Line	:	821 WATSON HOLLOW RD
Second Line	:
City	:	WEST SHOKAN
State	:	NY
Zip	:	12494-5431
Country	:	US
Telephone Number	:	917-302-7657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2007
Last Update Date	:	09/05/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1720252927 — DR. GEORGE ALLEN WOOTAN MD
Practice Location Address:

4379 ROUTE 28A
WEST SHOKAN, NY
12494-5110

Practice Phone: 845-704-7046
Practice Fax:

1013168640 — JOAN MARIE ZINTER OTR/L, CPO
Practice Location Address:

3463 ROUTE 28A
WEST SHOKAN, NY
12494

Practice Phone: 845-657-7334
Practice Fax: 845-657-7245

1619129210 — BARBARA HALE TERPENING RN
Practice Location Address:

130 BRODHEAD RD
WEST SHOKAN, NY
12494-5339

Practice Phone: 845-657-6714
Practice Fax:

1780932558 — LAUREL PORTERFIELD MANLY
Practice Location Address:

12 FADA LANE
WEST SHOKAN, NY
12494-0122

Practice Phone: 845-657-4171
Practice Fax:

1194440446 — DR. AMY WERMAN
Practice Location Address:

47 PINECREST DR
WEST SHOKAN, NY
12494-5328

Practice Phone: 516-455-9877
Practice Fax:

Directions to “ MS. HENRIETTA LAWLER SHANNON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.