Active NPI
Shannon Hedden, LCSW
- Clinical Social Worker
- Bethleham, CT
National Provider Identifier
1063113686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16163
- Practice address
- 41 Judge Lane
Bethleham, CT 06751 - Phone
- (203) 244-8411
- Fax
- (860) 733-0323
- NPI assigned
- Mar 10, 2023
- Last updated
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 16163 | CT | Primary |
Addresses
Primary practice location
41 Judge Lane
Bethleham, CT 06751
Mailing address
41 Judge LN
Bethlehem, CT 06751-1902
Phone (203) 244-8411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16163 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hoofbeats of CT, Inc | Clinical | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Bethlehem, CT
- NPI 1134692098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1063113686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 JUDGE LN",
"city": "BETHLEHEM",
"state": "CT",
"postal_code": "067511902",
"telephone_number": "203-244-8411",
"fax_number": "860-733-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 JUDGE LANE",
"city": "BETHLEHAM",
"state": "CT",
"postal_code": "06751",
"telephone_number": "203-244-8411",
"fax_number": "860-733-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDDEN",
"first_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-10",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "16163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.