Shayna Provencher, LCSW
Shayna Provencher, LCSW is a Clinical Social Worker in New London, Connecticut. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Connecticut.
- Years since qualifying
- 5
- Licensed in
- CT
- In the registry since
- 2023
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
164 Hempstead StNew London, CT 06320-5638
Phone: (860) 237-3273
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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 13552 (CT) |
|---|
Record details
| NPI number | 1801593199 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | February 8, 2023 |
| Last updated in NPPES | January 6, 2025 |
| Certification date | January 6, 2025 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Not indicated |
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Stephen G Pulaski, LCSW
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Meagan Arline Quinn, MSW
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400 Bayonet St Ste 202, New London, CT 06320-2600 · (860) 443-4163