Search › Massachusetts › 104100000X
Shannon Kelly, LICSW
NPI 1366929747 · on the registry since 2018
Practice
- Address
- 150 S Huntington Ave
Social Work Services (122)
Boston, MA 02130 - Phone
- (774) 826-3570
- Organisation at this address
- Vha
Va Boston
Boston Vamc
Boston Vamc
Va Boston Healthcare CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 453
Additional practice sites
- 1400 Vfw Pkwy, West Roxbury, MA
- 675 Paramount Dr, Raynham, MA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
104100000X - Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts