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

Individual provider Clinical Social Worker · NPI 1386004356

Mrs. Shannon K Mumblo, LICSW is a Clinical Social Worker in Wilbraham, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2016.

Licensed in
MA
In the registry since
2016
What do these letters mean?
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

10 Longfellow Rd
Wilbraham, MA 01095-1842
Phone: (413) 297-5552
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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 113256 (MA)

Record details

NPI number1386004356
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMarch 3, 2016
Last updated in NPPESMarch 3, 2016

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