Individual provider Active NPI

Shannah Zinkievich

  • Clinical Social Worker
  • Suffield, CT
National Provider Identifier
1861973885
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
235 Mountain Rd #34
Suffield, CT 06078-7702
Phone
(860) 847-8845
NPI assigned
Aug 27, 2018
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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 NU Primary

Addresses

Primary practice location

235 Mountain Rd #34
Suffield, CT 06078-7702

Mailing address

235 Mountain Rd #34
Suffield, CT 06078-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 13, 2025 through Jan 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Through Acceptance Counseling, PLLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

235 Mountain Rd
Unit 34
Suffield, CT 06078
Phone (860) 847-8845

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1861973885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MOUNTAIN RD #34",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060787702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MOUNTAIN RD #34",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060787702",
            "telephone_number": "860-847-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKIEVICH",
        "first_name": "SHANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffield, CT

Sources for this page

Verify at the official NPI Registry.