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

Mr. Shawn Harris Muthersbaugh, LCSW-R

Individual provider Social Worker · NPI 1063404143

Mr. Shawn Harris Muthersbaugh, LCSW-R is a Social Worker in Troy, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
Specialties on file
2

Practice location Address checks out

120 Defreest Dr 175
Troy, NY 12180
Phone: (518) 390-6890
Fax: (518) 374-6898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R032125 (NY)
Social Worker Taxonomy 104100000X · Licence R032125 (NY)

Record details

NPI number1063404143
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedAugust 16, 2005
Last updated in NPPESSeptember 26, 2019

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