National Provider Identifier
Shannon McCormick
Shannon McCormick is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 471-9477.
Profile Overview
- NPI
- 1275264186
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 21, 2022
- Last Updated
- June 21, 2022
Practice Location
- 1351 N Winton RD
- Rochester, NY 14609-5822
Phone: (585) 471-9477
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1275264186
- Entity Type
- Individual
- Last Name
- McCormick
- First Name
- Shannon
- Mailing Street Address
- 1351 N Winton RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-5822
- Mailing Country
- US
- Mailing Phone
- (585) 471-9477
- Practice Street Address
- 1351 N Winton RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-5822
- Practice Country
- US
- Practice Phone
- (585) 471-9477
- Enumeration Date
- June 21, 2022
- Last Updated
- June 21, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)