SHANNONE PETTIE LCSW
NPI 1396279006
Social Worker - Clinical in Cromwell, CT

Active since April 19, 2017
58 MISSIONARY RD, CROMWELL, CT 06416(860) 635-3010 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannone Pettie Lcsw NPPES

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

SHANNONE PETTIE LCSW (NPI 1396279006) is an individual clinical provider in Cromwell, Connecticut, licensed in Connecticut (007868) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1396279006
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNONE PETTIECredential: LCSW
Location Address58 MISSIONARY RDCromwell, CT 06416-2134
Mailing Address58 Missionary RdCromwell, CT 06416-2134 · (860) 635-3010
Sole ProprietorYes
Enumeration DateApril 19, 2017
NPI 1396279006 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 CT · 007868
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.

58 MISSIONARY RD, Cromwell, CT 06416

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.

Residential Treatment Facility, Emotionally Disturbed Children
58 MISSIONARY RD
CROMWELL, CT 06416
Social Worker (Clinical)
58 MISSIONARY RD
CROMWELL, CT 06416
Occupational Therapist (Pediatrics)
58 MISSIONARY RD
CROMWELL, CT 06416
Counselor (Mental Health)
58 MISSIONARY RD
CROMWELL, CT 06416
Community/Behavioral Health
58 MISSIONARY RD
CROMWELL, CT 06416
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416
Behavior Analyst
58 MISSIONARY RD
CROMWELL, CT 06416

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 Shannone Pettie's NPI number?

The NPI number for Shannone Pettie is 1396279006. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Shannone Pettie located?

Shannone Pettie practices at 58 Missionary Rd, Cromwell, CT 06416. The listed phone number is (860) 635-3010.

What is Shannone Pettie'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 Shannone Pettie was last updated on April 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.