National Provider Identifier

Shawn Ennuson, LCSW

Shawn Ennuson, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 766-8107.

NPI 1073004198Rochester, NYClinical Social Worker

Profile Overview

NPI
1073004198
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 24, 2018
Last Updated
June 03, 2025

Practice Location

  • 2300 East Ave
  • Rochester, NY 14610-2564

Phone: (585) 766-8107

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1073004198
Entity Type
Individual
Last Name
Ennuson
First Name
Shawn
Name Prefix
Mrs.
Credential
LCSW
Mailing Street Address
2300 East Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14610-2564
Mailing Country
US
Mailing Phone
(585) 766-8107
Mailing Fax
(585) 397-1916
Practice Street Address
2300 East Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14610-2564
Practice Country
US
Practice Phone
(585) 766-8107
Practice Fax
(585) 397-1916
Enumeration Date
May 24, 2018
Last Updated
June 03, 2025
Sex
Female
Sole Proprietor
No
Certification Date
June 03, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)