Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON SIDNEY BROOM, LCSW
Active Sole ProprietorSHANNON SIDNEY BROOM, LCSW is a Clinical Social Worker healthcare provider located in JONESBORO, Georgia. NPI 1114639119 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JONESBORO, GA
Registration Details
- NPI Number
- 1114639119
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2022 (3.6298173279105 yrs)
- Last Updated
- Dec 21, 2022
- License
-
ISW03720 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 MILL CREEK TRLJONESBORO, GA, 302384122Browse GA providers · Browse ZIP 30238
- Phone
- 2516041522
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in JONESBORO, GA
| Name | Credential | NPI |
|---|---|---|
| MOSHE MARVIN E GITTELSON | LCSW | 1366454100 |
| JANET MUSSER GRANSKI | — | 1548325483 |
| MRS. KATHLEEN O'LOUGHLIN | LCSW | 1407984651 |
| DR. BENJAMIN DOWNS III | LCSW | 1114117728 |
| MS. TAMMIE DENISE BRISCOE | MSW | 1023296563 |
| DANA MYERS | LCSW | 1275798589 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.