NPI 1104499326

Jennifer Shore, LICSW

Practitioner Clinical Social Worker Marblehead, MA

Practice location

Address: 6 Intervale Rd, Marblehead, MA 01945-1514
Phone: (781) 710-3746

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 120661 (MA)

Other Social Worker providers in Massachusetts →

Registry record

NPI: 1104499326
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2021
Record last updated: 24 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.