Shauna McCafferty, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

ISW03117 Issued in RI

Practice address

528 N Main St Unit 4
Providence, RI 02904-5770

Phone

(401) 276-4020

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Harvest Hope Counseling, LLC

  • Social Worker
  • Providence, RI
  • NPI 1215529524
  NPD Authorized official

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1619498664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HOLLAND AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029152049",
            "telephone_number": "401-516-4603",
            "fax_number": "401-696-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 N MAIN ST UNIT 4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045770",
            "telephone_number": "401-276-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Richmond Sq Ste 141C",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029065140",
            "country_code": "US",
            "telephone_number": "401-516-4603",
            "fax_number": "401-696-8389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "SHAUNA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW02075",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "ISW03117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura McAuliffe, PHARMD
• McBride Counseling LLC.
• Jennifer Lynn McBride, R.N.
• Linda Marie McBride, CNS
• Peter McBride
• Jazlyn Quintina McCall
• Dina McCamish, PT
• Elinore F McCance-Katz, M.D.
• Michael Joseph McCance, CRNA
• Paige McCann, NP

• Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.