Organization Active NPI

Shante Powers Gaskins LCSW LLC

  • Community/Behavioral Health Agency
  • Coventry, CT
National Provider Identifier
1831839075
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHANTE POWERS GASKINS LCSW LLC
Practice address
49 Frederick Dr
Coventry, CT 06238-3624
Phone
(860) 580-9631
NPI assigned
Mar 29, 2022
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Shante Powers-GaskinsNPI 1669885307
Title
Owner
Phone
(860) 580-9631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

49 Frederick Dr
Coventry, CT 06238-3624

Mailing address

49 Frederick Dr
Coventry, CT 06238-3624
Phone (860) 580-9631

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1831839075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 FREDERICK DR",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383624",
            "telephone_number": "860-580-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FREDERICK DR",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383624",
            "telephone_number": "860-580-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTE POWERS GASKINS LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "POWERS-GASKINS",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-580-9631"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.