Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brendette Denise Shannon, COUNSELOR

Individual provider Mental Health Counselor · NPI 1730436387

Brendette Denise Shannon, COUNSELOR is a Clinical Social Worker in Springfield, Massachusetts. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1695 Main St
Springfield, MA 01103-1348
Phone: (413) 739-9972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Mental Health Counselor Taxonomy 101YM0800X · Licence 010662 (CT)

Record details

NPI number1730436387
Entity typeIndividual (Type 1)
GenderFemale
Credentials COUNSELOR
Sole proprietorYes
NPI enumeratedAugust 13, 2012
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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