Shauntelle Barnaby

Individual provider Active NPI Clinical Social Worker · Enfield, CT

NPI 1134322977 · NPPES record last updated Jan 23, 2020

Key facts

NPI
1134322977
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
8432 (CT)
Practice address
47 Palomba Dr
Enfield, CT 06082-3868
Phone
(860) 253-5020
Fax
(860) 253-5030
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
8432CTMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 8432 CT Yes

Addresses

Primary practice location

47 Palomba Dr
Enfield, CT 06082-3868

Mailing address

55 Meakin Dr
Windsor, CT 06095-1216
Phone (860) 688-4258

Other providers in Enfield, CT

All providers in Enfield, CT · Clinical Social Worker in Connecticut

Sources for this page

Verify at the official NPI Registry.