Cousineau, Shannon

Cousineau, Shannon is an individual health care provider with primary practice located at 476 Arlington Dr , Lumberton NC 28358-2783. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cousineau, Shannon can be contacted via phone (401) 954-2700.

Contact Information

Primary practice address
476 Arlington Dr Lumberton NC 28358-2783
Phone: (401) 954-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 118149 Massachusetts
Behavioral Health & Social Service Providers / Social Worker 104100000X C014799 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118149 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X C014799 North Carolina

Profile Details

NPI number 1396907028
LBN Legal business name Cousineau, Shannon
Credentials LCSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Jul 20th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396907028 NPPES
Massachusetts Other 118149 SOCIAL WORK LICENSE
Massachusetts Other C014799 SOCIAL WORK LICENSE

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