Individual provider · Type 1 NPI

Shasta Rose Minery, LCSW

Clinical Social Worker · Rockport, ME

NPI number 1740001353 Active

Practice location

3 Glen Cove Dr Ste 1
Rockport, ME 04856-4232

Fax (207) 301-5296

Other practice locations

  • PO Box 405, Tenants Harbor, ME 04860-0405 · (207) 975-3929

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC22698 (ME)

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 1740001353

Shasta Rose Minery, LCSW's National Provider Identifier is 1740001353, issued on Oct 17, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockport, ME. The record was last updated on Oct 20, 2026.