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

MS. Shannon Kelly, LICSW, CPCC

Individual provider Clinical Social Worker · NPI 1508109083

MS. Shannon Kelly, LICSW, CPCC is a Clinical Social Worker in Cambridge, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2013
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

875 Massachusetts Ave #61
Cambridge, MA 02139-3067
Phone: (617) 642-2371
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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 111493 (MA)

Record details

NPI number1508109083
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , CPCC
Sole proprietorYes
NPI enumeratedApril 3, 2013
Last updated in NPPESApril 3, 2013

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