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SHAYNA PROVENCHER LCSW
NPI 1801593199
Social Worker - Clinical in New London, CT

Active since February 08, 2023PECOS Enrolled
164 HEMPSTEAD ST, NEW LONDON, CT 06320(860) 237-3273 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2025, Feb 8, 2023 (2 updates tracked since 2023).

About Shayna Provencher Lcsw NPPES

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

SHAYNA PROVENCHER LCSW (NPI 1801593199) is an individual clinical provider in New London, Connecticut, licensed in Connecticut (13552) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1801593199
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAYNA PROVENCHERCredential: LCSW
Location Address164 HEMPSTEAD STNew London, CT 06320-5638
Mailing Address100 Plaza Ct Po Box 661Groton, CT 06340-5702
Phone(860) 237-3273
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 8, 2023
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1801593199 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 · 13552
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.
164 HEMPSTEAD ST, New London, CT 06320
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayna Provencher Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729438163
PECOS Enrollment IDI20231227000948
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 Shayna Provencher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chaise Lounge Counseling LLC
Same address
Community/Behavioral Health
164 HEMPSTEAD ST
New London, CT 06320
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1477362168 (860) 237-3273

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 06320 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 2

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

MS. KATELYN BAEZ LCSW
Social Worker (Clinical)
164 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 910-4881
CHAISE LOUNGE COUNSELING LLC
Community/Behavioral Health
164 HEMPSTEAD ST
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 237-3273

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 Shayna Provencher's NPI number?

The NPI number for Shayna Provencher is 1801593199. It was assigned to this individual provider in the NPPES registry on February 8, 2023.

Where is Shayna Provencher located?

Shayna Provencher practices at 164 Hempstead St, New London, CT 06320. The listed phone number is (860) 237-3273.

What is Shayna Provencher's specialty?

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

Is Shayna Provencher enrolled in Medicare?

Yes. Shayna Provencher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shayna Provencher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayna Provencher reassigns Medicare benefits to Chaise Lounge Counseling LLC (New London, CT). 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 Shayna Provencher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shayna Provencher was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.