JENNIFER SHORE LICSW
NPI 1104499326
Social Worker - Clinical in Marblehead, MA

Active since July 24, 2021
6 INTERVALE RD, MARBLEHEAD, MA 01945(781) 710-3746 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Shore Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER SHORE LICSW (NPI 1104499326) is an individual clinical provider in Marblehead, Massachusetts, licensed in Massachusetts (120661) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1104499326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJENNIFER SHORECredential: LICSW
Location Address6 INTERVALE RDMarblehead, MA 01945-1514
Mailing Address6 Intervale RdMarblehead, MA 01945-1514 · (781) 710-3746
Sole ProprietorYes
Enumeration DateJuly 24, 2021
NPPES CertifiedJuly 24, 2021
NPI 1104499326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 120661
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6 INTERVALE RD, Marblehead, MA 01945

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Shore's NPI number?

The NPI number for Jennifer Shore is 1104499326. It was assigned to this individual provider in the NPPES registry on July 24, 2021.

Where is Jennifer Shore located?

Jennifer Shore practices at 6 Intervale Rd, Marblehead, MA 01945. The listed phone number is (781) 710-3746.

What is Jennifer Shore's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Shore was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.