Provider Demographics
NPI:1992308324
Name:MURPHY, SHANNON ROSE (LCSW)
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:ROSE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ALLENS CREEK RD STE 206
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3306
Mailing Address - Country:US
Mailing Address - Phone:585-210-8891
Mailing Address - Fax:585-310-0093
Practice Address - Street 1:120 ALLENS CREEK RD STE 206
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3306
Practice Address - Country:US
Practice Address - Phone:585-210-8891
Practice Address - Fax:585-310-0093
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0982381041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical