Christopher Edwards Shanahan, LICSW
NPI 1023574472ActiveIndividual· Social Worker, Clinical· Northampton, MA
Social Worker, Clinical (LICSW) with Servicenet Inc, practicing in Northampton, Massachusetts. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1023574472 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2019 |
| Last updated in NPPES | Jun 29, 2021 |
| Certified by provider | Jun 29, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 122804 | MA |
| Social Worker | 104100000X | 210367 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Servicenet IncAmherst, MA · 51 clinicians
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