Shannen Dufour, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2940 Issued in NH

Practice address

40 Pleasant St
Concord, NH 03301-4006

Phone

(603) 226-7505

NPI assigned

Feb 3, 2017

Last updated

Jul 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1003354606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033022032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014006",
            "telephone_number": "603-226-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Loudon Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015600",
            "country_code": "US",
            "telephone_number": "603-228-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFOUR",
        "first_name": "SHANNEN",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jane Ducharme, APRN, NP-C
• Susan Duddy
• Ludovic Duffroy, APRN
• Reshma P. Duffy, MD
• Ryan Killian Duffy, M.D.
• Victoria Dufour, DO
• Anes Dulas
• Tania Dulovich
• Louis Dumont, CRNA
• Keith Dunbar

• Clinical Social Worker in Concord, NH
• Providers in Concord, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.