Jennifer L Shannon, MSW, LICSW
Counselor, Mental Health in Provincetown, Massachusetts
1528050812- Practice location
- 30 Conwell St, #1, Provincetown, MA 02657-1548
- Phone
- 508-487-1192
- Fax
- 508-487-5813
- Last updated
- July 13, 2026
Jennifer Louise Shannon is a Counselor, Mental Health based in Provincetown, MA. Jennifer Louise Shannon practices in Provincetown, MA and has the professional credentials of MSW, LICSW. The NPI Number for Jennifer Louise Shannon is 1528050812 and holds a License No. 107036 (MA). The current practice location address for Jennifer Louise Shannon is 30 Conwell St, #1, Provincetown, MA 02657-1548 and can be reached out via phone at 508-487-1192 and via fax at 508-487-5813.
Provider Profile Details
- NPI Number
- 1528050812
- Provider Name
- Jennifer Louise Shannon
- Credential
- MSW, LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Conwell St, #1, Provincetown, MA 02657-1548
- Phone Number
- 508-487-1192
- Fax Number
- 508-487-5813
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2005
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Conwell St
#1
Provincetown, MA 02657-1548 - City
- Provincetown
- State
- Massachusetts
- Zip
- 02657-1548
- Phone Number
- 508-487-1192
- Fax Number
- 508-487-5813
Provider Business Mailing Address Details
- Address
- Po Box 2014
Truro, MA 02666-2014 - City
- Truro
- State
- MA
- Zip
- 02666-2014
- Phone Number
- 508-487-1192
- Fax Number
- 508-487-5813
License Information
- License Number
- 107036
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Provincetown, MA
View all Counselor, Mental Health providers in Provincetown →- Chelsea Crowe, LMHCCounselor, Mental Health · NPI 1497342638
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Frequently Asked Questions
What is the NPI number of Jennifer L Shannon, MSW, LICSW?
The NPI number of Jennifer L Shannon, MSW, LICSW is 1528050812. It was assigned on August 22, 2005 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Shannon, MSW, LICSW?
Jennifer L Shannon, MSW, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 107036.
Where does Jennifer L Shannon, MSW, LICSW practice?
The practice location is 30 Conwell St, #1, Provincetown, MA 02657-1548. The office can be reached at 508-487-1192 (phone) or 508-487-5813 (fax).
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 1528050812 directly on the NPPES registry website.