Shae Marie Havner, LCSW
NPI 1710549183ActiveIndividual· Social Worker, Clinical· Menomonie, WI
Social Worker, Clinical (LCSW) with Beacon Mental Health Resources LLC, practicing in Menomonie, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1710549183 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | Jul 5, 2019 |
| Last updated in NPPES | Sep 20, 2024 |
| Certified by provider | Sep 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 9548 | WI |
| Social Worker | 104100000X | 127423-121 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Beacon Mental Health Resources LLCMenomonie, WI · 2 clinicians
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All 18 clinical social workers in Menomonie · All clinical social workers in Wisconsin