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

Individual provider Clinical Social Worker · NPI 1053670208

Shannon Walsh Kutner, LCSW is a Clinical Social Worker in Riverhead, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

147 Northern Pkwy
Riverhead, NY 11901-2650
Phone: (631) 921-6611
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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 077160 (NY)

Record details

NPI number1053670208
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 9, 2012
Last updated in NPPESMay 9, 2012

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