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

Shae Marie Havner, LCSW

Individual provider Clinical Social Worker · NPI 1710549183

Shae Marie Havner, LCSW is a Clinical Social Worker in Menomonie, Wisconsin. Qualified in 2007, 19 years ago. Practices with Beacon Mental Health Resources LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2019
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

1421 Broadway St N Ste 114B
Menomonie, WI 54751-4728
Phone: (715) 308-5742
Fax: (888) 972-4831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 393 Red Cedar St Ste 3, Menomonie, WI 54751-2267 — (715) 308-5742

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9548 (WI)
Social Worker Taxonomy 104100000X · Licence 127423-121 (WI)

Record details

NPI number1710549183
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 5, 2019
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Beacon Mental Health Resources Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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