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REGINA SHANNON
NPI 1710376827
Social Worker - Clinical in Riverside, RI

Active since January 13, 2015
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1000(401) 432-1500 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Regina Shannon NPPES

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

REGINA SHANNON (NPI 1710376827) is an individual clinical provider in Riverside, Rhode Island, licensed in Rhode Island (ISW02919) and active in the NPI registry since January 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710376827
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREGINA SHANNON
Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4513 · (401) 724-8400 · Fax (401) 722-5280
Phone(401) 432-1000
Fax(401) 432-1500
Sole ProprietorNo
Enumeration DateJanuary 13, 2015
Last NPPES UpdateMarch 29, 2019
✔ NPI 1710376827 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 RI · ISW02919✔ Licensed in RI · CSW1778
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.
1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915
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Secondary Practice Locations 2

Location 11011 Veterans Memorial PkwyRiverside, RI 02915 · Phone (401) 432-1000 · Fax (401) 432-1500
Location 21471 Elmwood AveCranston, RI 02910-3849 · Phone (401) 724-8400 ext. 237 · Fax (401) 722-5280

Other Identifiers 1

MedicaidGH57134RI

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.

JUSTYNA PIASECKA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. VAMSI C TUMMALACHETTY PSYD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MOLLIE BURNS LCSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
MARIA S REGAN MSW
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Providence County (401) 432-1160
DR. ORNELLA JUDITH POTTER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
DR. ANDREA LILLIAN GOLD PH.D.
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
TANUJA P GANDHI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000
ANDREA REBECCA NEAL-BEEVERS PHD
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Providence County (401) 432-1000

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 Regina Shannon's NPI number?

The NPI number for Regina Shannon is 1710376827. It was assigned to this individual provider in the NPPES registry on January 13, 2015.

Where is Regina Shannon located?

Regina Shannon practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1000.

What is Regina Shannon'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 Regina Shannon was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.