Individual
MS. CECILY SHANNON O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1045 WARWICK AVE STE 101, WARWICK, RI 02888-3657
(401) 480-5900
Mailing address
55 N SHORE DR UNIT 2, RIVERSIDE, RI 02915-2905
(978) 257-3927
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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