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

Shasta Minery, LCSW

Individual provider Mental Health Counselor · NPI 1740001353

Shasta Minery, LCSW is a Clinical Social Worker in Dover Foxcroft, Maine. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Maine.

Years since qualifying
5
Licensed in
ME
In the registry since
2024
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

1048 S St
Dover Foxcroft, ME 04426-1232
Phone: (207) 564-3000
Fax: (207) 422-7339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 405, Tenants Harbor, ME 04860-0405 — (207) 975-3929

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC22698 (ME)

Record details

NPI number1740001353
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 17, 2024
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Dover Foxcroft