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

MS. Shannon Christine Secrist, LICSW

Individual provider Clinical Social Worker · NPI 1275631723

MS. Shannon Christine Secrist, LICSW is a Clinical Social Worker in Charlestown, Massachusetts. Qualified in 1995, 31 years ago. Practices with Moona Medical Group of California PC, a 25-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Massachusetts.

Years since qualifying
31
Licensed in
CA, MA
In the registry since
2006
Specialties on file
2
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

529 Main St Ste 100
Charlestown, MA 02129-1119
Phone: (617) 756-2151
Show map & directions

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

Additional practice locations (1)

  • 1965 Live Oak Blvd, Yuba City, CA 95991-8850 — (530) 822-7200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS23562 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LICSW126386 (MA)

Record details

NPI number1275631723
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESAugust 5, 2024
Certification dateAugust 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Moona Medical Group Of California Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Charlestown