Individual provider · Type 1 NPI

Shannon Elizabeth Bork, LAMFT

Marriage & Family Therapist · Philadelphia, PA

NPI number 1174477202 Active

Practice location

1601 Walnut St
Philadelphia, PA 19102-2944

Call (484) 238-0233 Map

Mailing address

1707 Christian St Apt 2
Philadelphia, PA 19146-1907

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XAMF000123 (PA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1174477202

Shannon Elizabeth Bork, LAMFT's National Provider Identifier is 1174477202, issued on Feb 25, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 26, 2026.