Shelana Angela Simon
Individual provider Active NPI Clinical Social Worker · Boston, MA
NPI 1124358643 · NPPES record last updated Feb 16, 2026
Key facts
- NPI
- 1124358643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 118252 (MA)
- Practice address
- 40 Court St
Boston, MA 02108-2202 - Phone
- (617) 693-1128
- NPI assigned
- Jan 5, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118252 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways to Counseling | Current | Accepting new patients | |
| Ally Integrated Healthcare | Social Worker | Past | Accepting new patients |
Locations
40 Court St
Boston, MA 02108
Phone (617) 693-1128
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118252 | MA | Yes |
Addresses
Primary practice location
40 Court St
Boston, MA 02108-2202
Mailing address
40 Court St
Boston, MA 02108-2202
Phone (617) 693-1128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118252 | Other | MA | LICENSE |
Other providers in Boston, MA
- Lisa Simon
- Mirela Simon
- Naomi Michele Simon
- Rachel Beth Simon
- Richard J Simon
- Stuart Nathan Simon
- Tracey G Simon
- Lara Natasha Simondi
- Emily Allen Simonds
- Margaret Anna Simonds
All providers in Boston, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.