Active NPI
Shannon Quinn
- Social Worker
- Worcester, MA
National Provider Identifier
1699124750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122430
- Practice address
- 335 Chandler St
Worcester, MA 01602-3441 - Phone
- (508) 753-2967
- NPI assigned
- Jun 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 122430 | MA | Primary |
| Counselor | 101Y00000X |
Addresses
Primary practice location
335 Chandler St
Worcester, MA 01602-3441
Mailing address
41 Mall Road Lahey Hospital & Medical Center
Burlington, MA 01805-0001
Phone (781) 744-8000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122430 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1699124750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL ROAD LAHEY HOSPITAL & MEDICAL CENTER",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 CHANDLER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023441",
"telephone_number": "508-753-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "SHANNON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-09",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "122430",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"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 Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.