Shannon O'Leary

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

211552 Issued in MA

Practice address

77 Willson St
Salem High School Teen Health Center
Salem, MA 01970-2829

Phone

(978) 740-1220

NPI assigned

Oct 14, 2016

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)

Enrolled

State licenses

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1609327642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WILLSON ST",
            "address_2": "SALEM HIGH SCHOOL TEEN HEALTH CENTER",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WILLSON ST",
            "address_2": "SALEM HIGH SCHOOL TEEN HEALTH CENTER",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702829",
            "telephone_number": "978-740-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LEARY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "211552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maeve O'Connor, LICSW
• Sharon O'Donoghue, OTRL
• Colette O'Hara, MSW
• Wendy P. O'Hara, LICSW
• Laura Kathryn O'Keefe, MSW STUDENT
• Robert J O'Malley, MSW
• Joan M Oatis, NP
• Andrew Ira Ober, M.D.
• Ocean Gem Psychological Care, PLLC
• Andrea M Odonnell, M.ED.

• Clinical Social Worker in Salem, MA
• Providers in Salem, 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 Oct 14, 2016; 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.