Individual provider · Type 1 NPI

Shannon Marie White, LCSW

Clinical Social Worker · West Hartford, CT

NPI number 1770918716 Active

Practice location

430 New Park Ave Ste 102
West Hartford, CT 06110-1142

Mailing address

5130 E Main Street Rd, Suite 2
Batavia, NY 14020-3444

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X13934 (CT)
Clinical Social Worker Primary 1041C0700X086570 (NY)

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 1770918716

Shannon Marie White, LCSW's National Provider Identifier is 1770918716, issued on Sep 10, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Hartford, CT. The record was last updated on Jul 25, 2026.