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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHASTA ROSE MINERY LCSW
NPI 1740001353
Social Worker - Clinical in Rockport, ME

Active since October 17, 2024PECOS Enrolled
3 GLEN COVE DR STE 1, ROCKPORT, ME 04856(207) 301-8900(207) 301-5296 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shasta Rose Minery Lcsw NPPES

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

SHASTA ROSE MINERY LCSW (NPI 1740001353) is an individual clinical provider in Rockport, Maine, licensed in Maine (LC22698) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tenants Harbor.

NPPES Registry Identity

NPI1740001353
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHASTA ROSE MINERYCredential: LCSW
Location Address3 GLEN COVE DR STE 1Rockport, ME 04856-4232
Mailing Address3 Glen Cove Dr Ste 1Rockport, ME 04856-4232 · (207) 301-8900 · Fax (207) 301-5296
Phone(207) 301-8900
Fax(207) 301-5296
Sole ProprietorNo
Enumeration DateOctober 17, 2024
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1740001353 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 ME · LC22698
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.
3 GLEN COVE DR STE 1, Rockport, ME 04856
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Secondary Practice Location 1

Location 1PO Box 405Tenants Harbor, ME 04860-0405 · Phone (207) 975-3929

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Rose Minery Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shasta Minery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Affiliates Maine, LLC
58 mi
Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 clinicians in this Medicare group
NPI 1932413556 (207) 333-3278

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MS. MARY CATHERINE CARPENTER MSN CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
DANA MEIXELL MD
Obstetrics & Gynecology
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
MARY KATHRYN ELISE ESTES CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
ELISABETH WALKER FREDERICK CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
NANCY K ALEXANDER CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
ALISON F ENGEL CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900
MISS MONIKA EVA GULYAS CNM
Advanced Practice Midwife
3 GLEN COVE DR STE 1
ROCKPORT, ME 04856
Knox County (207) 301-8900

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 Shasta Minery's NPI number?

The NPI number for Shasta Minery is 1740001353. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Shasta Minery located?

Shasta Minery practices at 3 Glen Cove Dr Ste 1, Rockport, ME 04856. The listed phone number is (207) 301-8900.

What is Shasta Minery's specialty?

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

Is Shasta Minery enrolled in Medicare?

Yes. Shasta Minery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shasta Minery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shasta Minery reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, ME). The 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 Shasta Minery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shasta Minery accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Shasta Minery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shasta Minery was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.