MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) – Clinical Social Worker, NPI 1982797353

MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) is a healthcare provider. based in West hartford, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, MSW, M.DIV.. They hold a License No. 5251 (CT). The NPI Number for MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) is 1982797353

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.)
NPI
1982797353
Phone
(860) 519-5090
Address
6 HEDWIG COURT
Enumeration Date
30 September 2006
Last Update Date
16 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2035258358
Graduation Year
2000 (26 years ago)
PAC ID
7113055302
Professional Enrollment ID
I20100508000087
Address ID
CT060022337BL69XXXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,151 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.)

  • 6, Hedwig Court, Foote Corners, West Hartford, Capitol Planning Region, Connecticut, 06107, United States

    WEST HARTFORD, CT 061072911

    Phone: (860) 519-5090

    Fax: (860) 519-5090

    Type: Mailing

  • Kevin Moshier LCSW LLC, 39, Sherman Hill Road, Pomeraug, Woodbury, Naugatuck Valley Planning Region, Connecticut, 06798, United States

    C-202-B

    WOODBURY, CT 067983650

    Phone: (203) 525-8358

    Fax: (860) 519-5090

    Type: Location

  • 69 MAPLE AVE

    BLOOMFIELD, CT 060022337

    Phone: (203) 525-8358

    Fax: (860) 656-6743

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100508000087IClinical Social WorkerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes15716$0
90853Group psychotherapy15725$0
View full utilization report →

Insurance plans in this area (ZIP 06107)

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Reviews

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Frequently asked questions

Is MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) listed with a National Provider Identifier?
Yes — MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) has NPI 1982797353 on file in the registry.
Would MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) appear as active to a payer?
You can treat MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.)?
At a glance, MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) associated with West Hartford?
Public fields place MR. PAUL JEFFREY SHAKER (LCSW, MSW, M.DIV.) around West Hartford, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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