Active NPI
Shannon Elizabeth Radford, LICSW
- Clinical Social Worker
- Worcester, MA
National Provider Identifier
1356822043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125246
- Practice address
- 29 E Mountain St
Worcester, MA 01606-1400 - Phone
- (857) 763-0257
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125246 | MA | Primary |
Addresses
Primary practice location
29 E Mountain St
Worcester, MA 01606-1400
Mailing address
PO Box 149
New Braintree, MA 01531-0149
Phone (774) 277-7194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125246 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1356822043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 149",
"city": "NEW BRAINTREE",
"state": "MA",
"postal_code": "015310149",
"telephone_number": "774-277-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E MOUNTAIN ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016061400",
"telephone_number": "857-763-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-22",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "125246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.