Rae Centanni Shaffner

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.00002136 Issued in CO

Practice address

500 W Pacific Ave.
Telluride, CO 81435

Phone

(970) 728-3848

Fax

(970) 728-3404

NPI assigned

Nov 13, 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 CO

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Map and the Mirror Counseling, LLC

  • Adult Mental Health Clinic/Center
  • Telluride, CO
  • NPI 1063047900
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1407252877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "814350664",
            "telephone_number": "225-571-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PACIFIC AVE.",
            "city": "TELLURIDE",
            "state": "CO",
            "postal_code": "81435",
            "telephone_number": "970-728-3848",
            "fax_number": "970-728-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFNER",
        "first_name": "RAE",
        "middle_name": "CENTANNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.00002136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Miguel County Finance Office
• Blythe Sargent, R.D.H.
• Lisa Marie Scott, RDH
• Serenity Space LLC.
• Serenity Space LLC.
• Louis J. Sharpe, M.D.
• Kristyn E. Shumway, DC
• Lisa Lynette Sink, PT
• Skyway LLC
• Susannah Smith, PH.D.

• Clinical Social Worker in Telluride, CO
• Providers in Telluride, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.