Individual
SHANNON NICOLE PHILPOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
40 BENNETT RD UNIT 414, ENGLEWOOD, NJ 07631-3271
(201) 421-1791
Mailing address
175 E MAIN ST, BERGENFIELD, NJ 07621-2236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06697300
NJ
1041S0200X
School Social Worker
—
—
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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