Ms. Shannon C Secrist, LICSW
Social Worker, Clinical in Charlestown, Massachusetts
1275631723- Practice location
- 529 Main St Ste 100, Charlestown, MA 02129-1119
- Phone
- 617-756-2151
- Fax
- —
- Last updated
- August 5, 2024
Shannon Christine Secrist is a Social Worker, Clinical based in Charlestown, MA. Shannon Christine Secrist practices in Charlestown, MA and has the professional credentials of LICSW. The NPI Number for Shannon Christine Secrist is 1275631723 and holds a License No. LICSW126386 (MA). The current practice location address for Shannon Christine Secrist is 529 Main St Ste 100, Charlestown, MA 02129-1119 and can be reached out via phone at 617-756-2151.
Provider Profile Details
- NPI Number
- 1275631723
- Provider Name
- Shannon Christine Secrist
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 529 Main St Ste 100, Charlestown, MA 02129-1119
- Phone Number
- 617-756-2151
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 20, 2006
- Last Update Date
- August 5, 2024
- Certification Date
- August 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 529 Main St Ste 100
Charlestown, MA 02129-1119 - City
- Charlestown
- State
- Massachusetts
- Zip
- 02129-1119
- Phone Number
- 617-756-2151
Provider Business Mailing Address Details
- Address
- 406 Technology Center Dr Unit 4409
Stoughton, MA 02072-4738 - City
- Stoughton
- State
- MA
- Zip
- 02072-4738
- Phone Number
- 530-520-9319
License Information
- License Number (1)
- LICSW126386
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- LCS23562
- License State (2)
- CA
- Taxonomy (2)
- 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 Charlestown, MA
View all Social Worker, Clinical providers in Charlestown →- Amanda A Datro, LICSWSocial Worker, Clinical · NPI 1760722128
- Amanda Beardsworth, LCSWSocial Worker, Clinical · NPI 1821425695
- Amanda KingsleySocial Worker, Clinical · NPI 1497526701
- Amira Walton, MSWSocial Worker, Clinical · NPI 1245961358
- Angela Alves, LICSWSocial Worker, Clinical · NPI 1972096774
- Anjali Himali, LICSWSocial Worker, Clinical · NPI 1982013249
Frequently Asked Questions
What is the NPI number of Ms. Shannon C Secrist, LICSW?
The NPI number of Ms. Shannon C Secrist, LICSW is 1275631723. It was assigned on September 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Shannon C Secrist, LICSW?
Ms. Shannon C Secrist, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW126386.
Where does Ms. Shannon C Secrist, LICSW practice?
The practice location is 529 Main St Ste 100, Charlestown, MA 02129-1119. The office can be reached at 617-756-2151 (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 1275631723 directly on the NPPES registry website.