MRS. SHANNON K MUMBLO LICSW
NPI 1386004356
Social Worker - Clinical in Wilbraham, MA

Active since March 03, 2016
10 LONGFELLOW RD, WILBRAHAM, MA 01095(413) 297-5552 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shannon K Mumblo Licsw NPPES

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

MRS. SHANNON K MUMBLO LICSW (NPI 1386004356) is an individual clinical provider in Wilbraham, Massachusetts, licensed in Massachusetts (113256) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1386004356
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON K MUMBLOCredential: LICSW
Location Address10 LONGFELLOW RDWilbraham, MA 01095-1842
Mailing Address10 Longfellow RdWilbraham, MA 01095-1842 · (413) 297-5552
Sole ProprietorNo
Enumeration DateMarch 3, 2016
NPI 1386004356 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 · 113256
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.
10 LONGFELLOW RD, Wilbraham, MA 01095

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 Mumblo's NPI number?

The NPI number for Shannon Mumblo is 1386004356. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Shannon Mumblo located?

Shannon Mumblo practices at 10 Longfellow Rd, Wilbraham, MA 01095. The listed phone number is (413) 297-5552.

What is Shannon Mumblo'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 Shannon Mumblo was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.