Individual provider Active NPI

Shawniel B Chamanlal, LCSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1760914741
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10239 Issued in CT
Practice address
555 Highland Ave Ste 13
Cheshire, CT 06410-2255
Phone
(860) 385-1472
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10239 CT Primary

Addresses

Primary practice location

555 Highland Ave Ste 13
Cheshire, CT 06410-2255

Mailing address

550 Darling St Unit 6B
Southington, CT 06489-2613
Phone (203) 526-3408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10239CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Springs Wellness Center, LLC Clinical CurrentSince Aug 2, 2020 Accepting new patients

Locations

555 Highland Ave
Ste 13
Cheshire, CT 06410
Phone (860) 385-1472

1006 S Main St
Ste 4
Plantsville, CT 06479
Phone (860) 385-1472

Organizations & group practices 1

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1760914741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DARLING ST UNIT 6B",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892613",
            "telephone_number": "203-526-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGHLAND AVE STE 13",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102255",
            "telephone_number": "860-385-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMANLAL",
        "first_name": "SHAWNIEL",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.