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

Polly A Shattuck, LCSW

Individual provider Clinical Social Worker · NPI 1255572160

Polly A Shattuck, LCSW is a Clinical Social Worker in Santa Fe, New Mexico. Licensed in Colorado and New Mexico. Registered with an NPI since 2009.

Licensed in
CO, NM
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

610 Alta Vista St
Santa Fe, NM 87505-4149
Phone: (970) 336-4912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Social Worker (primary) Taxonomy 1041S0200X · Licence M-07766 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW-1232 (CO)

Record details

NPI number1255572160
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 23, 2009
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

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