Shannon Secrist, LICSW
NPI 1275631723 · Clinical Social Worker · Charlestown, MA
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Secrist, LICSW is a Clinical Social Worker provider in Charlestown, MA (NPI 1275631723).
Provider details
- NPI number
- 1275631723
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- LICSW126386 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1965 Live Oak BlvdSuite aYuba City, CA 95991-8850Phone: (530) 822-7200Fax: (530) 822-7518
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2024-08-05
- Certified
- 2021-08-02
Frequently asked questions
- What is Shannon Secrist's NPI number?
- Shannon Secrist's National Provider Identifier (NPI) is 1275631723, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Secrist's specialty?
- Shannon Secrist is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Secrist located?
- Shannon Secrist's practice location on file with NPPES is 529 Main St Ste 100, Charlestown, MA 02129-1119.
- What is Shannon Secrist's phone number?
- The practice phone number listed in the NPPES registry for Shannon Secrist is (617) 756-2151.
- Does Shannon Secrist accept Medicare?
- Shannon Secrist is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Secrist's NPI active?
- Yes — Shannon Secrist's NPI (1275631723) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.