Polly A. Shattuck, LCSW
NPI 1255572160ActiveIndividual· Social Worker, School· Santa Fe, NM
Social Worker, School (LCSW) in Santa Fe, New Mexico, licensed in NM and CO, with an NPI issued in March 2009.
Overview
| NPI | 1255572160 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Mar 23, 2009 |
| Last updated in NPPES | Apr 26, 2024 |
| Certified by provider | Apr 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, School Primary | 1041S0200X | M-07766 | NM |
| Social Worker, Clinical | 1041C0700X | CSW-1232 | CO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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