MR. BRUCE SHEA PARKER (MA, LCSW) – Clinical Social Worker, NPI 1497917835

MR. BRUCE SHEA PARKER (MA, LCSW) is a healthcare provider. based in Woodstock, New York. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MA, LCSW. They hold a License No. 070208 (NY). The NPI Number for MR. BRUCE SHEA PARKER (MA, LCSW) is 1497917835

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE SHEA PARKER (MA, LCSW)
NPI
1497917835
Phone
(845) 679-5464
Address
48 COUNTRY CLUB LN
Enumeration Date
26 June 2008
Last Update Date
26 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005675433
Graduation Year
2005 (21 years ago)
PAC ID
1951460252
Group Practice PAC ID
8921549551
Professional Enrollment ID
I20081031000136
Address ID
NY100166795NE136XXAVEX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

7,009 CLINICAL SOCIAL WORKER in NY

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Provider Addresses for MR. BRUCE SHEA PARKER (MA, LCSW)

  • 48, Country Club Lane, Woodstock, Town of Woodstock, Ulster County, New York, 12498, United States

    WOODSTOCK, NY 124981839

    Phone: (845) 679-5464

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081031000136IClinical Social WorkerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes26124$0
90834Psychotherapy, 45 minutes3216$0
View full utilization report →

Insurance plans in this area (ZIP 12498)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921549551View full group profile
NameSpecialtyState
Clinical Social WorkerNY
Mental Health CounselorNY
Mental Health CounselorNY
Clinical Social WorkerNY
Clinical PsychologistNJ
Clinical Social WorkerNY
Clinical PsychologistMN
Mental Health CounselorCA
Mental Health CounselorTX
Clinical Social WorkerNY

Reviews

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Frequently asked questions

Can I cross-check MR. BRUCE SHEA PARKER (MA, LCSW) using NPI 1497917835?
NPI 1497917835 belongs to MR. BRUCE SHEA PARKER (MA, LCSW); compare other details if you need extra assurance.
Would MR. BRUCE SHEA PARKER (MA, LCSW) appear as active to a payer?
You can treat MR. BRUCE SHEA PARKER (MA, LCSW) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. BRUCE SHEA PARKER (MA, LCSW)?
MR. BRUCE SHEA PARKER (MA, LCSW) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Where in New York is MR. BRUCE SHEA PARKER (MA, LCSW) registered?
Use Woodstock, New York as the headline location for MR. BRUCE SHEA PARKER (MA, LCSW) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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