Shannon Kelly, LICSW
Social Worker in Boston, Massachusetts
1366929747- Practice location
- 150 S Huntington Ave, Social Work Services (122), Boston, MA 02130
- Phone
- 774-826-3570
- Fax
- —
- Last updated
- January 18, 2024
Shannon Kelly is a Social Worker based in Boston, MA. Shannon Kelly practices in Boston, MA and has the professional credentials of LICSW. The NPI Number for Shannon Kelly is 1366929747 and holds a License No. 125829 (MA). The current practice location address for Shannon Kelly is 150 S Huntington Ave, Social Work Services (122), Boston, MA 02130 and can be reached out via phone at 774-826-3570.
Provider Profile Details
- NPI Number
- 1366929747
- Provider Name
- Shannon Kelly
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 S Huntington Ave, Social Work Services (122), Boston, MA 02130
- Phone Number
- 774-826-3570
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Other Names
- Shannon Oconnor (Former Name)
- Provider Enumeration Date
- July 27, 2018
- Last Update Date
- January 18, 2024
- Certification Date
- January 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 S Huntington Ave
Social Work Services (122)
Boston, MA 02130 - City
- Boston
- State
- Massachusetts
- Zip
- 02130
- Phone Number
- 774-826-3570
Provider Business Mailing Address Details
- Address
- 150 S Huntington Ave
Social Work Services (122)
Boston, MA 02130 - City
- Boston
- State
- MA
- Zip
- 02130
License Information
- License Number (1)
- 125829
- License State (1)
- MA
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 125829
- License State (2)
- MA
- Taxonomy (2)
- Social Worker · 104100000X · Primary
- License Number (3)
- 225686
- License State (3)
- MA
- Taxonomy (3)
- Social Worker · 104100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Workers near Boston, MA
View all Social Workers in Boston →Frequently Asked Questions
What is the NPI number of Shannon Kelly, LICSW?
The NPI number of Shannon Kelly, LICSW is 1366929747. It was assigned on July 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Shannon Kelly, LICSW?
Shannon Kelly, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 125829.
Where does Shannon Kelly, LICSW practice?
The practice location is 150 S Huntington Ave, Social Work Services (122), Boston, MA 02130. The office can be reached at 774-826-3570 (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 1366929747 directly on the NPPES registry website.