Mrs. Shannon Broverman
Social Worker, Clinical in Dorchester Center, Massachusetts
1659571214- Practice location
- 2100 Dorchester Ave, Dorchester Center, MA 02124-5615
- Phone
- 617-296-4012
- Fax
- 617-474-3832
- Last updated
- July 23, 2007
Shannon Broverman is a Social Worker, Clinical based in Dorchester Center, MA. Shannon Broverman practices in Dorchester Center, MA. The NPI Number for Shannon Broverman is 1659571214. The current practice location address for Shannon Broverman is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-296-4012 and via fax at 617-474-3832.
Provider Profile Details
- NPI Number
- 1659571214
- Provider Name
- Shannon Broverman
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2100 Dorchester Ave, Dorchester Center, MA 02124-5615
- Phone Number
- 617-296-4012
- Fax Number
- 617-474-3832
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 23, 2007
- Last Update Date
- July 23, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2100 Dorchester Ave
Dorchester Center, MA 02124-5615 - State
- Massachusetts
- Zip
- 02124-5615
- Phone Number
- 617-296-4012
- Fax Number
- 617-474-3832
Provider Business Mailing Address Details
- Address
- 2100 Dorchester Ave
Dorchester Center, MA 02124-5615 - City
- Dorchester Center
- State
- MA
- Zip
- 02124-5615
- Phone Number
- 617-296-4012
- Fax Number
- 617-474-3832
License Information
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Shannon Broverman?
The NPI number of Mrs. Shannon Broverman is 1659571214. It was assigned on July 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Shannon Broverman?
Mrs. Shannon Broverman is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).
Where does Mrs. Shannon Broverman practice?
The practice location is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615. The office can be reached at 617-296-4012 (phone) or 617-474-3832 (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 1659571214 directly on the NPPES registry website.