National Provider Identifier

Shannon Holcombe, LCSW

Shannon Holcombe, 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) 721-0040.

NPI 1952027237Rochester, NYClinical Social Worker

Profile Overview

NPI
1952027237
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
October 18, 2022
Last Updated
October 18, 2022

Practice Location

  • 71 Poplar St
  • Rochester, NY 14620-2231

Phone: (585) 721-0040

Mailing Address

  • 1100 Jefferson RD Ste 12
  • Rochester, NY 14623-3200

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1952027237
Entity Type
Individual
Last Name
Holcombe
First Name
Shannon
Credential
LCSW
Mailing Street Address
1100 Jefferson RD Ste 12
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3200
Mailing Country
US
Mailing Phone
(585) 721-0040
Practice Street Address
71 Poplar St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2231
Practice Country
US
Practice Phone
(585) 721-0040
Enumeration Date
October 18, 2022
Last Updated
October 18, 2022
Sex
Female
Sole Proprietor
Yes
Certification Date
October 09, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)