MS. SHANNON CHRISTINE SECRIST LICSW
NPI 1275631723
Social Worker - Clinical in Charlestown, MA

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
529 MAIN ST STE 100, CHARLESTOWN, MA 02129(617) 756-2151 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shannon Christine Secrist Licsw NPPES

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

MS. SHANNON CHRISTINE SECRIST LICSW (NPI 1275631723) is an individual clinical provider in Charlestown, Massachusetts, licensed in California (LCS23562) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1275631723
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON CHRISTINE SECRISTCredential: LICSW
Location Address529 MAIN ST STE 100Charlestown, MA 02129-1119
Mailing Address406 Technology Center Dr Unit 4409Stoughton, MA 02072-4738 · (530) 520-9319
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 5, 2024
NPPES CertifiedAugust 2, 2021
NPI 1275631723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in CA · LCS23562 Licensed in MA · LICSW126386
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.
529 MAIN ST STE 100, Charlestown, MA 02129

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Shannon Christine Secrist Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426309733
PECOS Enrollment IDI20250915002605
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02129 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.72 – $189.86
Typical copayment $0.00 (range $15.93 – $47.46)
Most-billed visit code NA
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Social Worker (Clinical)
529 MAIN ST STE 100
BOSTON, MA 02129
Counselor
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Counselor
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Social Worker
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Social Worker
529 MAIN ST STE 100
CHARLESTOWN, MA 02129
Case Manager/Care Coordinator
529 MAIN ST STE 100
CHARLESTOWN, MA 02129

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 Shannon Secrist's NPI number?

The NPI number for Shannon Secrist is 1275631723. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Shannon Secrist located?

Shannon Secrist practices at 529 Main St Ste 100, Charlestown, MA 02129. The listed phone number is (617) 756-2151.

What is Shannon Secrist's specialty?

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

Is Shannon Secrist enrolled in Medicare?

Yes. Shannon Secrist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Secrist accept?

Health plans from Harvard Pilgrim Health Care list Shannon Secrist as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Secrist was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.