SHELBY DERISSAINT LCSW
NPI 1194661991
Social Worker - Clinical in Norwood, MA

Active since April 25, 2026
11 VANDERBILT AVE STE 260, NORWOOD, MA 02062(978) 763-6121(978) 906-0403 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelby Derissaint Lcsw NPPES

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

SHELBY DERISSAINT LCSW (NPI 1194661991) is an individual clinical provider in Norwood, Massachusetts, licensed in Massachusetts (227679) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1194661991
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY DERISSAINTCredential: LCSW
Location Address11 VANDERBILT AVE STE 260Norwood, MA 02062-5056
Mailing Address11 Vanderbilt Ave Ste 260Norwood, MA 02062-5056 · (978) 763-6121 · Fax (978) 906-0403
Fax(978) 906-0403
Sole ProprietorNo
Enumeration DateApril 25, 2026
NPPES CertifiedApril 25, 2026
NPI 1194661991 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 · 227679
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.
11 VANDERBILT AVE STE 260, Norwood, MA 02062

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 Shelby Derissaint's NPI number?

The NPI number for Shelby Derissaint is 1194661991. It was assigned to this individual provider in the NPPES registry on April 25, 2026.

Where is Shelby Derissaint located?

Shelby Derissaint practices at 11 Vanderbilt Ave Ste 260, Norwood, MA 02062. The listed phone number is (978) 763-6121.

What is Shelby Derissaint'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 Shelby Derissaint was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.