Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SHANNON CHRISTINE SECRIST, LICSW
ActiveMS. SHANNON CHRISTINE SECRIST, LICSW is a Clinical Social Worker healthcare provider located in CHARLESTOWN, Massachusetts. NPI 1275631723 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CHARLESTOWN, MA
Registration Details
- NPI Number
- 1275631723
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.863281162675 yrs)
- Last Updated
- Aug 5, 2024
- Licenses
-
LICSW126386 (MA)LCS23562 (CA)
Practice Information
- Address
-
529 MAIN ST STE 100CHARLESTOWN, MA, 021291119Browse MA providers · Browse ZIP 02129
- Phone
- 6177562151
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in CHARLESTOWN, MA
| Name | Credential | NPI |
|---|---|---|
| ANNE SMIDT | LICSW | 1952334369 |
| DEBORAH WANZER | LICSW | 1144411307 |
| EMILE BAKER | — | 1447421037 |
| KORI NICHOLSON | MSW | 1255570081 |
| MELISSA JACOBO | LICSW, MAT | 1700017779 |
| JESSICA WOODS BUCKLEY | LICSW | 1194036970 |
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.