Shaune Christopher Martin, LCSW
Individual provider Active NPI Clinical Social Worker · Pawcatuck, CT
NPI 1992281950 · NPPES record last updated Sep 5, 2026
Key facts
- NPI
- 1992281950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 010899 (CT)
- Practice address
- 43 W Broad St Unit 7
Pawcatuck, CT 06379-4309 - Phone
- (860) 245-8548
- NPI assigned
- Jul 12, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
43 W Broad St
Unit 1
Pawcatuck, CT 06379-4307
Phone (860) 245-8548
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201218000762 | CT | Practitioner - Clinical Social Worker | 5294147013 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010899 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaune Martin Therapy | Current |
Accepting new patients | |
| Child and Family Agency of Southeastern Connecticut, Inc. | Current |
Accepting new patients | |
| Child and Family Agency of Southeastern Connecticut, Inc. | Current |
Accepting new patients |
Locations
591 Poquonnock Rd
Groton, CT 06340
Phone (860) 449-8217
255 Hempstead St
New London, CT 06320
43 W Broad St
Unit 7
Pawcatuck, CT 06379
43 W Broad St
Unit 1
Pawcatuck, CT 06379
Phone (401) 219-1133
43 W Broad St
Unit 4
Pawcatuck, CT 06379
Phone (860) 245-8548
4 Grove Beach Rd N
Ste 2D
Westbrook, CT 06498
Interoperability endpoints
- shaune.martin@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 010899 | CT | Yes |
Addresses
Primary practice location
43 W Broad St Unit 7
Pawcatuck, CT 06379-4309
Mailing address
43 W Broad St Unit 7
Pawcatuck, CT 06379-4309
Phone (860) 245-8548
Other providers in Pawcatuck, CT
- Leighann Kuenn
- Sandra Jean Logan
- Muhammad Waleed Malik
- Daniel E. Marr
- Jessica Marshall
- Katrina Marie McGreevy
- George Thomas McMillin
- Angela G Moore
- Karen Marie Murphy
- Natural Family Health & Integrative Medicine, LLC
All providers in Pawcatuck, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.