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SHANNON WYNNE LCSW
NPI 1902667603
Social Worker - Clinical in Madison, CT

Active since January 19, 2024
224 FORT PATH RD, MADISON, CT 06443(860) 391-3577 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Wynne Lcsw NPPES

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

SHANNON WYNNE LCSW (NPI 1902667603) is an individual clinical provider in Madison, Connecticut, licensed in Connecticut (13678) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1902667603
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON WYNNECredential: LCSW
Location Address224 FORT PATH RDMadison, CT 06443-2220
Mailing Address224 Fort Path RdMadison, CT 06443-2220 · (860) 391-3577
Phone(860) 391-3577
Sole ProprietorNo
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1902667603 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 · 13678
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.
224 FORT PATH RD, Madison, CT 06443
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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 Shannon Wynne's NPI number?

The NPI number for Shannon Wynne is 1902667603. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Shannon Wynne located?

Shannon Wynne practices at 224 Fort Path Rd, Madison, CT 06443. The listed phone number is (860) 391-3577.

What is Shannon Wynne's specialty?

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

What insurance does Shannon Wynne accept?

Health plans from Providence Health Plan list Shannon Wynne 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 Shannon Wynne was last updated on January 19, 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.