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

Shannon F Gordon, LICSW

Individual provider Clinical Social Worker · NPI 1134486426

Shannon F Gordon, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2012.

Licensed in
MA
In the registry since
2012
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

55 Lake Ave N Umass Memorial Medical Center Psychiatry
Worcester, MA 01655-0002
Phone: (774) 442-2671
Fax: (774) 442-5303
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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 116366 (MA)

Record details

NPI number1134486426
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012

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