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

Miss. Shannon Alyse Randolph, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1821767922

Miss. Shannon Alyse Randolph, MSW, LICSW is a Clinical Social Worker in Roxbury, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

504 Dudley St
Roxbury, MA 02119-2732
Phone: (617) 445-6655
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1121000 (MA)

Record details

NPI number1821767922
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedSeptember 10, 2021
Last updated in NPPESMay 6, 2025
Certification dateApril 23, 2025

Other providers in Roxbury