Shannon Christine Secrist, LICSW
Clinical Social Worker · Charlestown, MA
Shannon Christine Secrist, LICSW is a clinical social worker with a practice address in Charlestown, Massachusetts, and NPI 1275631723, issued on Sep 20, 2006. Check the license (Massachusetts LICSW126386, as entered in NPPES) with the Massachusetts board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shannon Christine Secrist
- Credential
- LICSW
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License numbers
- LICSW126386 MA
LCS23562 CA
Self-reported in NPPES; status is on the state search - Practice location
- 529 Main St Ste 100, Charlestown, MA 02129
- Phone
- (617) 756-2151
- Enumerated
- Sep 20, 2006
- Record last updated
- Aug 5, 2024
- Medicare enrollment
- Enrolled (PECOS I20250915002605); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 17,815 in Massachusetts → Look up another NPI →
Also registered at 529 Main St Ste 100
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gerard DistefanoCounselor1144646795
- Michael LaraSocial Worker1356705750
- Angela MorrisCounselor1326464983
- Neil PetersonCase Manager/Care Coordinator1720435498
- Silvia RamirezCounselor1295151819
- Sam RappaportSocial Worker1669947594
Verify Shannon Christine Secrist in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Massachusetts board licenses this profession
Search for license LICSW126386Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Moona Medical Group OF California PCSan Francisco, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shannon Christine Secrist among 17,815 clinical social worker records in Massachusetts
Shannon Christine Secrist, LICSW is one of 17,815 clinical social worker records with a practice address in Massachusetts. 8% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 85% newer
- In a Medicare fileYes · 8% of these records are
- In the CMS Doctors and Clinicians fileYes · 17% of these records are
- Graduated1995 · median 2004 among the 3,059 with a school on file
- Record last updated2024 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
51 clinical social worker records list a practice address in Charlestown
They are 51 of the 421 NPPES records with a practice address in Charlestown, and 17,815 clinical social worker records in Massachusetts.
All 17,815 in Massachusetts → Every provider in Charlestown → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Quinn Almerico-Leclair, LICSWCharlestown, MA 021291902158173
- Emile BakerCharlestown, MA 021291447421037
- Jessica Buckley, LICSWCharlestown, MA 021291194036970
- Amanda Datro, LICSWCharlestown, MA 021291760722128
- Carey Driscoll, LICSW, MEDCharlestown, MA 021291750715603
- Melissa Jacobo, LICSW, MATCharlestown, MA 021291700017779
- Malcolm JosephBoston, MA 021291831347558
- Annelle Kallman, MSW, LICSWCharlestown, MA 021291992081806
Common questions
What is Shannon Christine Secrist, LICSW's NPI number?
Shannon Christine Secrist, LICSW's National Provider Identifier (NPI) is 1275631723, issued on Sep 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Shannon Christine Secrist, LICSW located?
The NPPES record lists a practice address at 529 Main St Ste 100, Charlestown, MA, 02129. Phone: (617) 756-2151. Providers update this record themselves, so call before visiting.
How can I verify Shannon Christine Secrist, LICSW's license?
NPPES lists Massachusetts license number LICSW126386, as entered by the provider. Search the Massachusetts board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.