Active NPIIndividual provider

Shasta R Minery, LCSW

Social Worker, Clinical in Rockport, Maine

NPI Number1740001353
Practice location
3 Glen Cove Dr Ste 1, Rockport, ME 04856-4232
Fax
207-301-5296
Last updated
October 20, 2026

Shasta Rose Minery is a Social Worker, Clinical based in Rockport, ME. Shasta Rose Minery practices in Rockport, ME and has the professional credentials of LCSW. The NPI Number for Shasta Rose Minery is 1740001353 and holds a License No. LC22698 (ME). The current practice location address for Shasta Rose Minery is 3 Glen Cove Dr Ste 1, Rockport, ME 04856-4232 and can be reached out via phone at 207-301-8900 and via fax at 207-301-5296.

Provider Profile Details

NPI Number
1740001353
Provider Name
Shasta Rose Minery
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
3 Glen Cove Dr Ste 1, Rockport, ME 04856-4232
Phone Number
207-301-8900
Fax Number
207-301-5296
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 17, 2024
Last Update Date
October 20, 2026
Certification Date
October 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
3 Glen Cove Dr Ste 1
Rockport, ME 04856-4232
State
Maine
Zip
04856-4232
Phone Number
207-301-8900
Fax Number
207-301-5296
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
3 Glen Cove Dr Ste 1
Rockport, ME 04856-4232
City
Rockport
State
ME
Zip
04856-4232
Phone Number
207-301-8900
Fax Number
207-301-5296

License Information

License Number
LC22698
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shasta R Minery, LCSW?

The NPI number of Shasta R Minery, LCSW is 1740001353. It was assigned on October 17, 2024 and is currently active in the NPPES registry.

What is the specialty of Shasta R Minery, LCSW?

Shasta R Minery, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC22698.

Where does Shasta R Minery, LCSW practice?

The practice location is 3 Glen Cove Dr Ste 1, Rockport, ME 04856-4232. The office can be reached at 207-301-8900 (phone) or 207-301-5296 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740001353 directly on the NPPES registry website.

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