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SHANNON KELLY LICSW
NPI 1366929747
Social Worker in Boston, MA

Active since July 27, 2018
150 S HUNTINGTON AVE, SOCIAL WORK SERVICES (122), BOSTON, MA 02130(774) 826-3570 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, Sep 3, 2020, Oct 7, 2019 and 1 more (4 updates tracked since 2018).

About Shannon Kelly Licsw NPPES

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

SHANNON KELLY LICSW (NPI 1366929747) is an individual social worker in Boston, Massachusetts, licensed in Massachusetts (125829) and active in the NPI registry since July 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366929747
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON KELLYCredential: LICSW
Location Address150 S HUNTINGTON AVE, SOCIAL WORK SERVICES (122)Boston, MA 02130
Mailing Address150 S Huntington Ave, Social Work Services (122)Boston, MA 02130
Phone(774) 826-3570
Sole ProprietorNo
Enumeration DateJuly 27, 2018
Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1366929747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in MA · 125829✔ Licensed in MA · 225686
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 125829 (MA)
150 S HUNTINGTON AVE, Boston, MA 02130
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Other Names 1

Former Name (1)Shannon Oconnor

Secondary Practice Locations 2

Location 11400 Vfw PkwyWest Roxbury, MA 02132-4927 · Phone (857) 203-5291
Location 2675 Paramount DrRaynham, MA 02767-5416 · Phone (508) 880-0012

Other Providers at the Same Location NPPES 20

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

DR. KAREN SUZANNE MITCHELL PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, 116B-3
BOSTON, MA 02130
Suffolk County (857) 364-2149
JENNA MARIE RENZULLI
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (617) 390-4872
TAYLOR LEIGH BROOKS PHD
Psychologist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-3189
DR. VALIA A BOOSALIS MD
Internal Medicine (Hematology & Oncology)
150 S HUNTINGTON AVE, IIIHO
BOSTON, MA 02130
Suffolk County (617) 232-9500
MS. RACHEL FAWN FURMAN R.N.
Registered Nurse
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (508) 649-1118
DR. KALYN ELIZABETH LAZAR PHARMD
Pharmacist
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (610) 217-0908
MRS. ELAINE MARIE FINNERAL LICSW
Social Worker (Clinical)
150 S HUNTINGTON AVE
BOSTON, MA 02130
Suffolk County (857) 364-5770
BARBARA L NILES PHD
Psychologist (Clinical)
150 S HUNTINGTON AVE, VA BOSTON HEALTHCARE SYSTEM
BOSTON, MA 02130
Suffolk County (857) 364-4128

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 Kelly's NPI number?

The NPI number for Shannon Kelly is 1366929747. It was assigned to this individual provider in the NPPES registry on July 27, 2018. The provider is also known as Shannon Oconnor.

Where is Shannon Kelly located?

Shannon Kelly practices at 150 S Huntington Ave Social Work Services (122), Boston, MA 02130. The listed phone number is (774) 826-3570.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on January 18, 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.