Individual provider · Type 1 NPI

Shana Moynihan, LCSW

Clinical Social Worker · Mansfield Center, CT

NPI number 1194667402 Active

Practice location

189 Storrs Rd
Mansfield Center, CT 06250-1683

Mailing address

29 Bay Hill Dr
Bloomfield, CT 06002-2374

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X16626 (CT)

Clinical Social Worker: 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 interpers…

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About NPI 1194667402

Shana Moynihan, LCSW's National Provider Identifier is 1194667402, issued on Apr 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mansfield Center, CT. The record was last updated on Apr 7, 2026.