1. Home
  2. Directory
  3. Wyoming
  4. Evanston
  5. Social Worker
  6. NPI Profile

MS. SHONTAY MARIE ROE LCSW
NPI 1093142630
Social Worker - Clinical in Evanston, WY

Active since September 27, 2013
109 BARRETT AVE, EVANSTON, WY 82930(307) 679-3854(307) 789-4225 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 27, 2021, Jan 15, 2020, Mar 4, 2019 (3 updates tracked since 2019).

About Ms. Shontay Marie Roe Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHONTAY MARIE ROE LCSW (NPI 1093142630) is an individual clinical provider in Evanston, Wyoming, licensed in Wyoming (LCSW-1037) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1093142630
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHONTAY MARIE ROECredential: LCSW
Location Address109 BARRETT AVEEvanston, WY 82930
Mailing Address109 Barrett AveEvanston, WY 82930 · (307) 679-3854 · Fax (307) 789-4225
Phone(307) 679-3854
Fax(307) 789-4225
Sole ProprietorYes
Enumeration DateSeptember 27, 2013
Last NPPES UpdateMay 27, 20213 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1093142630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · LCSW-1037
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
109 BARRETT AVE, Evanston, WY 82930
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shontay Roe's NPI number?

The NPI number for Shontay Roe is 1093142630. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Shontay Roe located?

Shontay Roe practices at 109 Barrett Ave, Evanston, WY 82930. The listed phone number is (307) 679-3854.

What is Shontay Roe's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Shontay Roe was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.