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

Shaneesta Sanfilippo

Individual provider Mental Health Counselor · NPI 1477803997

Shaneesta Sanfilippo is a Clinical Social Worker in Portland, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor.

Years since qualifying
12
In the registry since
2012
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Practice location Address checks out

17720 NE Halsey St Ste A
Portland, OR 97230-6771
Phone: (503) 654-7654
Fax: (503) 654-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PROFESSIONALLICENSE

Record details

NPI number1477803997
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2012
Last updated in NPPESMarch 12, 2024
Certification dateMay 18, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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