Active NPIIndividual provider

Shannon Hurley, LICSW

Social Worker, Clinical in Woburn, Massachusetts

NPI Number1104515634
Practice location
12 Gill St, Woburn, MA 01801-1765
Fax
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Last updated
December 16, 2025

Shannon Hurley is a Social Worker, Clinical based in Woburn, MA. Shannon Hurley practices in Woburn, MA and has the professional credentials of LICSW. The NPI Number for Shannon Hurley is 1104515634 and holds a License No. LICSW1120779 (MA). The current practice location address for Shannon Hurley is 12 Gill St, Woburn, MA 01801-1765 and can be reached out via phone at 845-337-5477.

Provider Profile Details

NPI Number
1104515634
Provider Name
Shannon Hurley
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
12 Gill St, Woburn, MA 01801-1765
Phone Number
845-337-5477
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
May 2, 2023
Last Update Date
December 16, 2025
Certification Date
December 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Gill St
Woburn, MA 01801-1765
City
Woburn
Zip
01801-1765
Phone Number
845-337-5477
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
672 Main St
Watertown, MA 02472-2131
City
Watertown
State
MA
Zip
02472-2131
Phone Number
845-337-5477

License Information

License Number (1)
LICSW1120779
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
LCSW227747
License State (2)
MA
Taxonomy (2)
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 Shannon Hurley, LICSW?

The NPI number of Shannon Hurley, LICSW is 1104515634. It was assigned on May 2, 2023 and is currently active in the NPPES registry.

What is the specialty of Shannon Hurley, LICSW?

Shannon Hurley, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1120779.

Where does Shannon Hurley, LICSW practice?

The practice location is 12 Gill St, Woburn, MA 01801-1765. The office can be reached at 845-337-5477 (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 1104515634 directly on the NPPES registry website.

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