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SHANNON MOORE
NPI 1750758322
Social Worker - Clinical in Randolph, MA

Active since August 30, 2015
42 DIAUTO DR, RANDOLPH, MA 02368(781) 885-7252 Get Directions Write a Review

NPPES record last updated: August 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Moore NPPES

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

SHANNON MOORE (NPI 1750758322) is an individual clinical provider in Randolph, Massachusetts, licensed in New York (582733473) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1750758322
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON MOORE
Location Address42 DIAUTO DRRandolph, MA 02368-4510
Mailing Address42 Diauto DrRandolph, MA 02368-4510
Phone(781) 885-7252
Sole ProprietorYes
Enumeration DateAugust 30, 2015
✔ NPI 1750758322 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 NY · 582733473
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.
42 DIAUTO DR, Randolph, MA 02368
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Other Providers at the Same Location NPPES 9

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

GUERDA VICTOR
Counselor (Mental Health)
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252
INTEGRATIVE CHIROPRACTIC SERVICES, PC
Chiropractor
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 986-6443
MR. MATTHEW BENNETT EASLEY
Counselor
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252
MARISSA GIEL
Case Manager/Care Coordinator
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252
MR. JAMES MILTON HENRY JR.
Counselor (Mental Health)
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252
ANTONIO ARRENDEL
Counselor (Mental Health)
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252
DEBRA KLEZMER LMT,RN,C,CRRN
Registered Nurse (Pain Management)
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 986-6443
LAMOUR COMMUNITY HEALTH INSTITUTE, INC
Community/Behavioral Health
42 DIAUTO DR
RANDOLPH, MA 02368
Norfolk County (781) 885-7252

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 Moore's NPI number?

The NPI number for Shannon Moore is 1750758322. It was assigned to this individual provider in the NPPES registry on August 30, 2015.

Where is Shannon Moore located?

Shannon Moore practices at 42 Diauto Dr, Randolph, MA 02368. The listed phone number is (781) 885-7252.

What is Shannon Moore'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 Moore was last updated on August 30, 2015. 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.