Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shaun Edward Willis, LMSW

Individual provider Social Worker · NPI 1457673451

Mr. Shaun Edward Willis, LMSW is a Social Worker in Brentwood, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

998 Crooked Hill Rd Pilgrim Psych Ctr Bldg #5
Brentwood, NY 11717-1019
Phone: (631) 306-5869
Fax: (631) 306-5886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 074650 (NY)

Record details

NPI number1457673451
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 18, 2010
Last updated in NPPESFebruary 18, 2010

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