Shannon Brock, LCSWR

NPI #1639362635 in Fort Edward, New York

Provider Information

NPI Number: 1639362635
Entity Type: Individual
Name: Shannon Brock, LCSWR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSWR
Enumeration Date: Aug 22, 2007
Last Updated: Nov 21, 2025

Practice Location

Address: 46 REYNOLDS RD
City: Fort Edward
State: New York
ZIP Code: 12828-9217
Phone: (518) 573-0239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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