Christine Anna Shaman, MSW, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

15592LICSW Issued in MN

Practice address

3612 White Rose Ave
Burnsville, MN 55337-2402

Phone

(651) 492-0561

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811037310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 WHITE ROSE AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372402",
            "telephone_number": "651-492-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 WHITE ROSE AVE",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372402",
            "telephone_number": "651-492-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAN",
        "first_name": "CHRISTINE",
        "middle_name": "ANNA",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "15592LICSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasteho Shafi
• Rena Shah, MD
• Tina Dinesh Shah, PSYD, LP
• Jessica Shaheen, MD
• Salma Shaker, M.D.
• Celsabeil Ibrahim Shariff
• Shaun R Gifford D.C. P.S.C.
• Myranda Jo Shaw
• Shazein Healing Therapy
• J Richard Sheely, MD

• Social Worker in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.