Individual
MS. CECILY SHANNON O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03958
RI
1041C0700X
Clinical Social Worker
LCSW231054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW03958
RHODE ISLAND DEPARTMENT OF HEALTH
RI
01
—
LCSW231054
THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
MA
01
—
S56519908
MASSACHUSETTS DEPARTMENT OF MOTOR VEHICLES
MA
Enumeration date
05/13/2025
Last updated
05/13/2025
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