Shelley Ann Steenrod, PH.D., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1021154 Issued in MA

Practice address

Old Andover Village Mall
91 Main Street
Andover, MA 01810-3848

Phone

(978) 764-8764

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1588858617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4244",
            "address_2": "BALARDVALE STATION",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018100814",
            "telephone_number": "978-474-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD ANDOVER VILLAGE MALL",
            "address_2": "91 MAIN STREET",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103848",
            "telephone_number": "978-764-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENROD",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D., LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1021154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly St. Cyr, LMHC, LCMHC, ATR
• Nicole Marie St.Onge, LMHC
• Michaela Shellby Stackhouse, OTR/L
• Meg Ellen Stafford, MSW, LICSW
• Lisa Starkweather
• Fred Mitchell Stern, PT
• Linda K Stern
• Jena Michelle Still, M.S., CCC-SLP
• Strength and Balance Physical Therapy
• Barbara C Stubenhaus, CNS (RN, MS, CS)

• Clinical Social Worker in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.