National Provider Identifier

Mary Teresa Shannon, LMSW

Mary Teresa Shannon, LMSW is listed in the NPPES registry with a primary specialty of Counselor in Getzville, NY and a listed phone number of (716) 831-2700.

NPI 1184318339Getzville, NYCounselor

Profile Overview

NPI
1184318339
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
June 08, 2023
Last Updated
June 14, 2023

Practice Location

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Phone: (716) 831-2700

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1184318339
Entity Type
Individual
Last Name
Shannon
First Name
Mary Teresa
Credential
LMSW
Provider Other Last Name
Galante
Provider Other First Name
Mary Teresa
Provider Other Last Name Type Code
1
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
55 Dodge RD
Practice City
Getzville
Practice State
NY
Practice ZIP Code
14068-1205
Practice Country
US
Practice Phone
(716) 831-2700
Enumeration Date
June 08, 2023
Last Updated
June 14, 2023
Sex
Female
Sole Proprietor
No
Certification Date
June 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)