Individual provider Active NPI

Shannon Larson

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1740821370
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
127158 Issued in MA
Practice address
37 Cranberry Farm Rd
Plymouth, MA 02360-2279
Phone
(508) 503-9110
Fax
(508) 484-4499
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 127158 MA Primary

Addresses

Primary practice location

37 Cranberry Farm Rd
Plymouth, MA 02360-2279

Mailing address

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

Other practice location 1

28 Leggs Hill Rd
Marblehead, MA 01945-1009
Phone (617) 312-2161

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

LicenseStateTypeSpecialty
127158MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wander Well Counseling, PLLC Clinical CurrentSince Jul 1, 2024 Accepting new patients

Locations

14 Tobey Rd
Ste G
Wareham, MA 02571

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1740821370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14TOBEY ROAD",
            "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",
            "fax_number": "508-484-4499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Leggs Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Marblehead",
            "state": "MA",
            "postal_code": "019451009",
            "country_code": "US",
            "telephone_number": "617-312-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "127158",
            "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.