Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Louise Shannon, MSW, LICSW

Individual provider Mental Health Counselor · NPI 1528050812

Jennifer Louise Shannon, MSW, LICSW is a Mental Health Counselor in Provincetown, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2005.

Licensed in
MA
In the registry since
2005
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

30 Conwell St #1
Provincetown, MA 02657-1548
Phone: (508) 487-1192
Fax: (508) 487-5813
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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 · Licence 107036 (MA)

Record details

NPI number1528050812
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESJuly 13, 2026

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