Individual provider · Type 1 NPI

Shannon Hurley, LICSW

Clinical Social Worker · Woburn, MA

NPI number 1104515634 Active

Practice location

12 Gill St
Woburn, MA 01801-1765

Mailing address

672 Main St
Watertown, MA 02472-2131

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLICSW1120779 (MA)
Clinical Social Worker Primary 1041C0700XLCSW227747 (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 1104515634

Shannon Hurley, LICSW's National Provider Identifier is 1104515634, issued on May 2, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Woburn, MA. The record was last updated on Dec 16, 2025.