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

Individual provider Clinical Social Worker · NPI 1366929747

Shannon Kelly, LICSW is a Clinical Social Worker in Boston, Massachusetts. Works from 3 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
3
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

150 S Huntington Ave Social Work Services (122)
Boston, MA 02130
Phone: (774) 826-3570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 675 Paramount Dr, Raynham, MA 02767-5416 — (508) 880-0012
  • 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 — (857) 203-5291

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 125829 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 125829 (MA)
Social Worker Taxonomy 104100000X · Licence 225686 (MA)

Record details

NPI number1366929747
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 27, 2018
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024

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