Active NPIIndividual providerSole proprietor

Mr. Shane J Nardi-Williams, LICSW

Social Worker, Clinical in Concord, Massachusetts

NPI Number1083226427
Practice location
9 Pond Ln Ste 3C, Concord, MA 01742-2863
Fax
—
Last updated
August 18, 2020

Shane Js Nardi-Williams is a Social Worker, Clinical based in Concord, MA. Shane Js Nardi-Williams practices in Concord, MA and has the professional credentials of LICSW. The NPI Number for Shane Js Nardi-Williams is 1083226427 and holds a License No. 122795 (MA). The current practice location address for Shane Js Nardi-Williams is 9 Pond Ln Ste 3C, Concord, MA 01742-2863 and can be reached out via phone at 617-612-5089.

Provider Profile Details

NPI Number
1083226427
Provider Name
Shane Js Nardi-Williams
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
9 Pond Ln Ste 3C, Concord, MA 01742-2863
Phone Number
617-612-5089
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Other Names
Mr. Shane Js Williams (Former Name)
Provider Enumeration Date
August 18, 2020
Last Update Date
August 18, 2020
Certification Date
August 18, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Pond Ln Ste 3C
Concord, MA 01742-2863
Zip
01742-2863
Phone Number
617-612-5089
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
8 Bennetts Xing
Ayer, MA 01432-1770
City
Ayer
State
MA
Zip
01432-1770
Phone Number
617-866-0207

License Information

License Number
122795
License State
MA
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 Mr. Shane J Nardi-Williams, LICSW?

The NPI number of Mr. Shane J Nardi-Williams, LICSW is 1083226427. It was assigned on August 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Shane J Nardi-Williams, LICSW?

Mr. Shane J Nardi-Williams, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122795.

Where does Mr. Shane J Nardi-Williams, LICSW practice?

The practice location is 9 Pond Ln Ste 3C, Concord, MA 01742-2863. The office can be reached at 617-612-5089 (phone).

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 1083226427 directly on the NPPES registry website.

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