Individual provider · Type 1 NPI

Shannon Lee Ayotte Stauffer, L.C.S.W.

Clinical Social Worker · Suffield, CT

NPI number 1720035041 Active

Practice location

880 Burbank Ave
Suffield, CT 06078-1459

Fax (866) 256-1692

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X006144 (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 1720035041

Shannon Lee Ayotte Stauffer, L.C.S.W.'s National Provider Identifier is 1720035041, issued on May 30, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Suffield, CT. The record was last updated on Jul 13, 2026.