Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON BROCK, LCSWR
ActiveSHANNON BROCK, LCSWR is a Clinical Social Worker healthcare provider located in FORT EDWARD, New York. NPI 1639362635 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · FORT EDWARD, NY
Registration Details
- NPI Number
- 1639362635
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2007 (18.958189869019 yrs)
- Last Updated
- Nov 21, 2025
- License
-
078314 (NY)
Practice Information
- Address
-
46 REYNOLDS RDFORT EDWARD, NY, 128289217Browse NY providers · Browse ZIP 12828
- Phone
- 5185730239
- Fax
- 5187472194
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in FORT EDWARD, NY
| Name | Credential | NPI |
|---|---|---|
| SUZANNE HACKERT | LCSW-R | 1962433169 |
| MRS. SANDRA POLLARO | LCSW-R | 1972838506 |
| CHRISTINA CAMPAGNA REES | MSW | 1760786636 |
| DONNA M DAPOLITO | LCSWR | 1255697538 |
| GREGORY N CHANDLER | LCSW | 1548502693 |
| DANIELA L ANDRADE | LCSW | 1376922146 |
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.