Individual provider Active NPI

Raymond Steven Shocki, MSW

  • Marriage & Family Therapist
  • Plantsville, CT
National Provider Identifier
1245305135
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000320 Issued in CT
Practice address
710 Main St
Building 3, Suite 9
Plantsville, CT 06479-1565
Phone
(860) 628-8474
Fax
(860) 621-0850
NPI assigned
Nov 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 000402 CT
Marriage & Family Therapist 106H00000X 000320 CT Primary

Addresses

Primary practice location

710 Main St
Building 3, Suite 9
Plantsville, CT 06479-1565

Mailing address

45 Arrowleaf CT
Cheshire, CT 06410-3312
Phone (860) 628-8474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20061201000414 CT Practitioner - Clinical Social Worker 3274531140 Reassigns benefits to 1 organization
Practice locations: Bristol, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

757 Lake Venue
Suite 16
Bristol, CT 06010
Phone (860) 628-8474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000320CTMDProfessional Counselor
000402CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Hospital Multi-Specialty Group, Inc. Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245305135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ARROWLEAF CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103312",
            "telephone_number": "860-628-8474",
            "fax_number": "860-621-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 MAIN ST",
            "address_2": "BUILDING 3, SUITE 9",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791565",
            "telephone_number": "860-628-8474",
            "fax_number": "860-621-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKI",
        "first_name": "RAYMOND",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "000402",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.