SHARED JOURNEY, LLC
NPI 1255200507
Social Worker - Clinical in East Haven, CT

Q: What is Shared Journey, LLC's NPI number?

The NPI number for Shared Journey, LLC is 1255200507. It was assigned to this organization in the NPPES registry on November 4, 2025.

Q: What is Shared Journey, LLC's specialty?

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

Active since November 04, 2025

30 MAIN ST FL 1, EAST HAVEN, CT 06512(203) 680-0903 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Shared Journey, Llc NPPES

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

SHARED JOURNEY, LLC (NPI 1255200507) is a healthcare organization registered as a clinical in East Haven, Connecticut and active in the NPI registry since November 2025. The organization lists Renee Marie Dekin, Owner, as its authorized official.

NPPES Registry Identity

NPI1255200507

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSHARED JOURNEY, LLC

Location Address30 MAIN ST FL 1East Haven, CT 06512-2506

Mailing Address30 Main St Fl 1East Haven, CT 06512-2506 · (203) 680-0903

Phone(203) 680-0903

Organization SubpartNo

Authorized OfficialRenee Marie DekinOwner · (203) 680-0903

Enumeration DateNovember 4, 2025

NPPES CertifiedNovember 4, 2025

✔ NPI 1255200507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

30 MAIN ST FL 1, East Haven, CT 06512

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shared Journey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shared Journey, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Renee Dekin, LCSW

Clinical Social Worker

NPI 1508736679

30 MAIN ST FL 1
East Haven, CT 06512

(203) 680-0903

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shared Journey, LLC's NPI number?

The NPI number for Shared Journey, LLC is 1255200507. It was assigned to this organization in the NPPES registry on November 4, 2025.

Where is Shared Journey, LLC located?

Shared Journey, LLC is located at 30 Main St Fl 1, East Haven, CT 06512. The listed phone number is (203) 680-0903.

What is Shared Journey, LLC's specialty?

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

Is Shared Journey, LLC enrolled in Medicare?

Yes. Shared Journey, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shared Journey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Shared Journey, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shared Journey, LLC was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.