| Shaune Christopher Martin, LCSW | |
|
43 W Broad St Unit 1, Pawcatuck, CT 06379-4307 | |
| (860) 245-8548 | |
| Not Available |
| Full Name | Shaune Christopher Martin |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 43 W Broad St Unit 1, Pawcatuck, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992281950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 010899 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Entity Name | Child And Family Agency Of Southeastern Connecticut, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215393327 PECOS PAC ID: 2163756982 Enrollment ID: O20190628000228 |
| Entity Name | Shaune Martin Therapy |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780314096 PECOS PAC ID: 2860876372 Enrollment ID: O20220901001835 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaune Christopher Martin, LCSW 43 W Broad St Unit 4, Pawcatuck, CT 06379-4307 Ph: (860) 245-8548 | Shaune Christopher Martin, LCSW 43 W Broad St Unit 1, Pawcatuck, CT 06379-4307 Ph: (860) 245-8548 |
Ms. Katherine Anne Chesson, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 43 W Broad St Unit 1, Pawcatuck, CT 06379 Phone: 401-219-1133 Fax: 401-596-1826 | |
Lori Leigh Wheeler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Liberty St, Pawcatuck, CT 06379 Phone: 860-599-9961 | |
Sarah Schilke, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 S Broad St, Pawcatuck, CT 06379 Phone: 860-437-4550 Fax: 860-661-4262 | |
Mr. James Pendergast Iii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Moss St, Pawcatuck, CT 06379 Phone: 207-749-6101 | |
Ms. Mary Chutjian, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Asher Ave, Pawcatuck, CT 06379 Phone: 860-599-1936 |