JENNIFER LOUISE SHANNON MSW LICSW NPI 1528050812

NPI Information

NPI: 1528050812
Provider Name: JENNIFER LOUISE SHANNON, MSW, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
30 CONWELL ST
#1
PROVINCETOWN, MA
ZIP 02657
Phone: (508) 487-1192
Get Directions

Jennifer Louise Shannon, MSW, LICSW is a mental health counselor in Provincetown, MA. Jennifer Louise Shannon, MSW, LICSW NPI is 1528050812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 CONWELL ST
#1
PROVINCETOWN, MA
ZIP 02657-548
Phone: (508) 487-1192
Fax: (508) 487-5813

The enumeration date for this NPI number is 8/22/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	107036	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PO4889	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	LICSW

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »