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

Individual provider Clinical Social Worker · NPI 1649419318

Mrs. Shannon Marie Mountain-Ray, LICSW is a Clinical Social Worker in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
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

300 Longwood Ave
Boston, MA 02115-5724
Phone: (857) 218-4334
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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 114656 (MA)

Record details

NPI number1649419318
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedFebruary 19, 2009
Last updated in NPPESJanuary 27, 2014

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