Active NPI
Shannon Marie Alther, LCSW
- Clinical Social Worker
- Woodbury, CT
National Provider Identifier
1831469949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9047
- Practice address
- 660 Main St S
Woodbury, CT 06798-3433 - Phone
- (203) 586-8290
- Fax
- (203) 586-1442
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 9047 | CT | Primary |
Addresses
Primary practice location
660 Main St S
Woodbury, CT 06798-3433
Mailing address
PO Box 864
Woodbury, CT 06798-0864
Phone (203) 586-8290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004068284 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 16, 2023 through Feb 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9047 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1831469949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067980864",
"telephone_number": "203-586-8290",
"fax_number": "203-586-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 MAIN ST S",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067983433",
"telephone_number": "203-586-8290",
"fax_number": "203-586-1442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHER",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "9047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004068284",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.