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

Shannon Rose

Individual provider Clinical Social Worker · NPI 1073106852

Shannon Rose is a Clinical Social Worker in Danvers, Massachusetts. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

152 Sylvan St Fl 2A
Danvers, MA 01923-3581
Phone: (978) 222-3121
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 128228 (MA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1073106852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2021
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address152 Sylvan St Fl 2a, Danvers, MA 01923-3581

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Danvers