Organization Active NPI

Wander Well Counseling, PLLC

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1356187470
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WANDER WELL COUNSELING, PLLC
Practice address
37 Cranberry Farm Rd
Plymouth, MA 02360-2279
Phone
(508) 503-9110
NPI assigned
Jul 8, 2024
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Ms. Shanon Larson, LICSW
Title
Practice Owner
Phone
(508) 503-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

37 Cranberry Farm Rd
Plymouth, MA 02360-2279

Mailing address

14 Tobey Rd
Ste G Unit 162
Wareham, MA 02571
Phone (508) 503-9110

National Provider Directory

National Provider Directory

Locations

14 Tobey Rd
Ste G
Wareham, MA 02571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1356187470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 TOBEY RD",
            "address_2": "STE G UNIT 162",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "02571",
            "telephone_number": "508-503-9110",
            "fax_number": "508-484-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 CRANBERRY FARM RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023602279",
            "telephone_number": "508-503-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDER WELL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "SHANON",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "508-503-9110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.