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

Mr. Paul Jeffrey Shaker, LCSW, MSW, MDIV

Individual provider Clinical Social Worker · NPI 1982797353

Mr. Paul Jeffrey Shaker, LCSW, MSW, MDIV is a Clinical Social Worker in Bloomfield, Connecticut. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
26
Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

69 Maple Ave
Bloomfield, CT 06002-2337
Phone: (203) 525-8358
Fax: (860) 656-6743
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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 5251 (CT)

Record details

NPI number1982797353
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MSW , MDIV
Sole proprietorYes
NPI enumeratedSeptember 30, 2006
Last updated in NPPESMarch 16, 2024
Certification dateMarch 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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