Shaina Dawn Wilkinson, MSW, LMSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15699 Issued in CT

Practice address

12 Roosevelt Ave Ste Office2
Mystic, CT 06355-2809

Phone

(860) 245-9764

NPI assigned

Oct 4, 2014

Sex

Female

Sole proprietor

Yes

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 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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peace Connection PLLCGroup PAC ID 7214458439, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peace Connection PLLC

  • Clinical Social Worker
  • Mystic, CT
  • NPI 1306564976
  Medicare reassignment Care Compare group NPD
• Mystic Medical Associates LLC

  • Primary Care Clinic/Center
  • Mystic, CT
  • NPI 1972954477
  NPD

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

{
    "created_epoch": "1412380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1316340334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE STE OFFICE2",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552809",
            "telephone_number": "860-245-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ROOSEVELT AVE STE OFFICE2",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552809",
            "telephone_number": "860-245-9764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4927 Maplewood Rd",
            "address_purpose": "LOCATION",
            "city": "West Topsham",
            "state": "VT",
            "postal_code": "050868964",
            "country_code": "US",
            "telephone_number": "860-245-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "SHAINA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-04",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "15699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund A P West, MD
• John Robert West Jr., M.D.
• Laura Ann White, OTRL
• Miriam Wholean, MSW, LCSW
• Wholeness Insight Psychotherapy LLC
• Amanda Williams, BCBA, LBA
• Wise Mind, LLC
• Kevin David Wolter, MD
• William J Wray, P.A.
• Heather Zambrello

• Clinical Social Worker in Mystic, CT
• Providers in Mystic, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.