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

Jennifer Shore, LICSW

Individual provider Clinical Social Worker · NPI 1104499326

Jennifer Shore, LICSW is a Clinical Social Worker in Marblehead, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

6 Intervale Rd
Marblehead, MA 01945-1514
Phone: (781) 710-3746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 120661 (MA)

Record details

NPI number1104499326
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 24, 2021
Last updated in NPPESJuly 24, 2021
Certification dateJuly 24, 2021

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