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POLLY A SHATTUCK LCSW
NPI 1255572160
Social Worker - School in Santa Fe, NM

Active since March 23, 2009
610 ALTA VISTA ST, SANTA FE, NM 87505(970) 336-4912 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Polly A Shattuck Lcsw NPPES

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

POLLY A SHATTUCK LCSW (NPI 1255572160) is an individual school provider in Santa Fe, New Mexico, licensed in New Mexico (M-07766) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1255572160
Entity TypeIndividualFemale
Primary Taxonomy1041S0200X
Provider Legal NamePOLLY A SHATTUCKCredential: LCSW
Location Address610 ALTA VISTA STSanta Fe, NM 87505-4149
Mailing Address928 12th StGreeley, CO 80631-4024
Phone(970) 336-4912
Sole ProprietorNo
Enumeration DateMarch 23, 2009
Last NPPES UpdateApril 26, 2024
NPPES CertifiedApril 26, 2024
✔ NPI 1255572160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NM · M-07766
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CSW-1232 (CO)
610 ALTA VISTA ST, Santa Fe, NM 87505
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUDY ELLEN RUST-HUERTA LISW
Social Worker (Clinical)
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2504
NATALIE MOCTEZUMA M.S. CFY-SLP
Speech-Language Pathologist
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2000
MS. KATHERINE D SELUJA CPNP
Registered Nurse (School)
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2000
KRISTY L WOOD P.T.
Physical Therapist
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2504
JOSEFA GALLEGOS RN
Registered Nurse (School)
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2000
DIANA M PACHECO LMSW
Social Worker (School)
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2504
DENISE HARP OTR/L
Occupational Therapist
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2000
SANTA FE PUBLIC SCHOOLS
Speech-Language Pathologist
610 ALTA VISTA ST
SANTA FE, NM 87505
Santa Fe County (505) 467-2502

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 Polly Shattuck's NPI number?

The NPI number for Polly Shattuck is 1255572160. It was assigned to this individual provider in the NPPES registry on March 23, 2009.

Where is Polly Shattuck located?

Polly Shattuck practices at 610 Alta Vista St, Santa Fe, NM 87505. The listed phone number is (970) 336-4912.

What is Polly Shattuck's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Polly Shattuck was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.