Mrs. Shannon K Mumblo, LICSW
Social Worker, Clinical in Wilbraham, Massachusetts
1386004356- Practice location
- 10 Longfellow RD, Wilbraham, MA 01095-1842
- Phone
- 413-297-5552
- Fax
- —
- Last updated
- March 3, 2016
Shannon K Mumblo is a Social Worker, Clinical based in Wilbraham, MA. Shannon K Mumblo practices in Wilbraham, MA and has the professional credentials of LICSW. The NPI Number for Shannon K Mumblo is 1386004356 and holds a License No. 113256 (MA). The current practice location address for Shannon K Mumblo is 10 Longfellow RD, Wilbraham, MA 01095-1842 and can be reached out via phone at 413-297-5552.
Provider Profile Details
- NPI Number
- 1386004356
- Provider Name
- Shannon K Mumblo
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 10 Longfellow RD, Wilbraham, MA 01095-1842
- Phone Number
- 413-297-5552
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 3, 2016
- Last Update Date
- March 3, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Longfellow RD
Wilbraham, MA 01095-1842 - City
- Wilbraham
- State
- Massachusetts
- Zip
- 01095-1842
- Phone Number
- 413-297-5552
Provider Business Mailing Address Details
- Address
- 10 Longfellow RD
Wilbraham, MA 01095-1842 - City
- Wilbraham
- State
- MA
- Zip
- 01095-1842
- Phone Number
- 413-297-5552
License Information
- License Number
- 113256
- 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 Wilbraham, MA
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- Jennifer L Jodoin, LICSWSocial Worker, Clinical · NPI 1518288653
- Jordana Adair-PinnockSocial Worker, Clinical · NPI 1376743294
- Kaitlyn S Martin, LICSWSocial Worker, Clinical · NPI 1811676851
Frequently Asked Questions
What is the NPI number of Mrs. Shannon K Mumblo, LICSW?
The NPI number of Mrs. Shannon K Mumblo, LICSW is 1386004356. It was assigned on March 3, 2016 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shannon K Mumblo, LICSW?
Mrs. Shannon K Mumblo, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113256.
Where does Mrs. Shannon K Mumblo, LICSW practice?
The practice location is 10 Longfellow RD, Wilbraham, MA 01095-1842. The office can be reached at 413-297-5552 (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 1386004356 directly on the NPPES registry website.