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

Shelby Derissaint, LCSW

Individual provider Clinical Social Worker · NPI 1194661991

Shelby Derissaint, LCSW is a Clinical Social Worker in Norwood, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2026.

Licensed in
MA
In the registry since
2026
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

11 Vanderbilt Ave Ste 260
Norwood, MA 02062-5056
Phone: (978) 763-6121
Fax: (978) 906-0403
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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 227679 (MA)

Record details

NPI number1194661991
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 25, 2026
Last updated in NPPESApril 25, 2026
Certification dateApril 25, 2026

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