Jennifer Shore, LICSW
Social Worker, Clinical in Marblehead, Massachusetts
1104499326- Practice location
- 6 Intervale RD, Marblehead, MA 01945-1514
- Phone
- 781-710-3746
- Fax
- —
- Last updated
- July 24, 2021
Jennifer Shore is a Social Worker, Clinical based in Marblehead, MA. Jennifer Shore practices in Marblehead, MA and has the professional credentials of LICSW. The NPI Number for Jennifer Shore is 1104499326 and holds a License No. 120661 (MA). The current practice location address for Jennifer Shore is 6 Intervale RD, Marblehead, MA 01945-1514 and can be reached out via phone at 781-710-3746.
Provider Profile Details
- NPI Number
- 1104499326
- Provider Name
- Jennifer Shore
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 6 Intervale RD, Marblehead, MA 01945-1514
- Phone Number
- 781-710-3746
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 24, 2021
- Last Update Date
- July 24, 2021
- Certification Date
- July 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Intervale RD
Marblehead, MA 01945-1514 - City
- Marblehead
- State
- Massachusetts
- Zip
- 01945-1514
- Phone Number
- 781-710-3746
Provider Business Mailing Address Details
- Address
- 6 Intervale RD
Marblehead, MA 01945-1514 - City
- Marblehead
- State
- MA
- Zip
- 01945-1514
- Phone Number
- 781-710-3746
License Information
- License Number
- 120661
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Marblehead, MA
View all Social Worker, Clinical providers in Marblehead →- Alison L CareySocial Worker, Clinical · NPI 1215681606
- Amy N Greene, LICSWSocial Worker, Clinical · NPI 1194907253
- Ann J SmithSocial Worker, Clinical · NPI 1457835720
- Approach Therapy And Wellness, LLCSocial Worker, Clinical · NPI 1184493652
- Carol R Johnson, LICSWSocial Worker, Clinical · NPI 1326522947
- Deirdre K Samuelsson, LICSWSocial Worker, Clinical · NPI 1821476938
Frequently Asked Questions
What is the NPI number of Jennifer Shore, LICSW?
The NPI number of Jennifer Shore, LICSW is 1104499326. It was assigned on July 24, 2021 and is currently active in the NPPES registry.
What is the specialty of Jennifer Shore, LICSW?
Jennifer Shore, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120661.
Where does Jennifer Shore, LICSW practice?
The practice location is 6 Intervale RD, Marblehead, MA 01945-1514. The office can be reached at 781-710-3746 (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 1104499326 directly on the NPPES registry website.