Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen R Shaughency, LISW

Individual provider Clinical Social Worker · NPI 1619123288

Colleen R Shaughency, LISW is a Clinical Social Worker in Mansfield, Ohio. Qualified in 2006, 20 years ago. Practices with Third Street Community Clinic, Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
20
Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

600 W 3rd St
Mansfield, OH 44906-2633
Phone: (419) 522-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10800151 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence I0800151 (OH)

Record details

NPI number1619123288
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESJuly 29, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Third Street Community Clinic, Inc. — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mansfield