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

Shayna Kostenbader, LCSW

Individual provider Social Worker · NPI 1447806195

Shayna Kostenbader, LCSW is a Clinical Social Worker in Port Jervis, New York. Qualified in 2020, 6 years ago. Practices with County of Orange, a 28-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

146 Pike St
Port Jervis, NY 12771-1808
Phone: (845) 858-1456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Harriman Dr, Goshen, NY 10924-2410 — (845) 291-2600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 096872 (NY)
Social Worker Taxonomy 104100000X · Licence 109841-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447806195
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 16, 2019
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Orange — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port Jervis