Christopher Shanky, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

111020 Issued in MA

Practice address

123 Union St Ste 201
Easthampton, MA 01027-4100

Phone

(413) 320-3182

Fax

(413) 529-9047

NPI assigned

Jul 27, 2006

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1144234329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BLACK BIRCH TRL",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623610",
            "telephone_number": "413-529-1764",
            "fax_number": "413-529-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 UNION ST STE 201",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010274100",
            "telephone_number": "413-320-3182",
            "fax_number": "413-529-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKY",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ruth Schieffelin, LCSW
• Lauren C Schwartz, MD
• John Joseph Sefton, MA
• Gia Serafino, PT
• Sajid Settles
• Shawki Kanazi MD PC
• Jalieh Shepard
• Alexandra Shumway, MSW
• Shanea Shumway, MS
• Anna Cartella Siembor, MSW, LICSW

• Clinical Social Worker in Easthampton, MA
• Providers in Easthampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.