Shannon Kelly, LICSW, CPCC
NPI 1508109083 · Clinical Social Worker · Cambridge, MA
Shannon Kelly, LICSW, CPCC is a Clinical Social Worker provider in Cambridge, MA (NPI 1508109083).
Provider details
- NPI number
- 1508109083
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW, CPCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 111493 (MA)
Specialties & taxonomies
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2013-04-03
- Last updated
- 2013-04-03
Frequently asked questions
- What is Shannon Kelly's NPI number?
- Shannon Kelly's National Provider Identifier (NPI) is 1508109083, 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 Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Kelly located?
- Shannon Kelly's practice location on file with NPPES is 875 Massachusetts Ave, Cambridge, MA 02139-3067.
- What is Shannon Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelly is (617) 642-2371.
- Is Shannon Kelly's NPI active?
- Yes — Shannon Kelly's NPI (1508109083) is active in the NPPES registry as of the last update on 2013-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.