Shannon Kelly, LICSW
NPI 1366929747 · Social Worker · Boston, MA
Shannon Kelly, LICSW is a Social Worker provider in Boston, MA (NPI 1366929747).
Provider details
- NPI number
- 1366929747
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 125829 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 675 Paramount DrRaynham, MA 02767-5416Phone: (508) 880-0012
- 1400 Vfw PkwyWest Roxbury, MA 02132-4927Phone: (857) 203-5291
Registry dates
- Enumerated
- 2018-07-27
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Shannon Kelly's NPI number?
- Shannon Kelly's National Provider Identifier (NPI) is 1366929747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kelly's specialty?
- Shannon Kelly is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Kelly located?
- Shannon Kelly's practice location on file with NPPES is 150 S Huntington Ave, Boston, MA 02130.
- What is Shannon Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelly is (774) 826-3570.
- Is Shannon Kelly's NPI active?
- Yes — Shannon Kelly's NPI (1366929747) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.