Individual provider · Type 1 NPI

Shannon Elliott, LICSW

Clinical Social Worker · Plymouth, MA

NPI number 1063580884 Active

Practice location

310 Court St Ste 103
Plymouth, MA 02360-4372

Mailing address

54 Dickson Dr
Plymouth, MA 02360-6831

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X2027086 (MA)
Clinical Social Worker Primary 1041C0700X111708 (MA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1063580884

Shannon Elliott, LICSW's National Provider Identifier is 1063580884, issued on Dec 1, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Plymouth, MA. The record was last updated on Jan 4, 2023.