MEDICARE: SHANNON MARTIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	9316	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	M18684	OTHER	MA	BLUE CROSS BLUE SHEILD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	22220002001	OTHER	MA	BLUE CROSS BLUE SHEILD

General Provider Information

NPI Number	:	1558704916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON MARTIN

Provider Business Mailing Address
First Line	:	288 WEST ST STE 3B
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-1234
Country	:	US
Telephone Number	:	508-252-8236
Fax Number	:

Provider Business Practice Location Address
First Line	:	288 WEST ST STE 3B
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-1234
Country	:	US
Telephone Number	:	508-252-8236
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	04/09/2026

Similar Medicare Providers

1023183696 — MS. CATHERINE PEARCE CAMPBELL LICSW
Practice Location Address:

288 WEST ST STE 3B
MILFORD, MA
01757-1234

Practice Phone: 508-422-0248
Practice Fax: 508-422-0261

1720532740 — CHRISTINE CREAN MSW
Practice Location Address:

288 WEST ST STE 3B
MILFORD, MA
01757-1234

Practice Phone: 508-523-2447
Practice Fax:

1770048183 — NATASHA MEDEIROS CONLEY, PSY.D., LLC
Practice Location Address:

288 WEST ST STE 3B
MILFORD, MA
01757-1234

Practice Phone: 508-794-5093
Practice Fax: 508-422-0261

1659232429 — SHANNON MARTIN COUNSELING, PLLC
Practice Location Address:

288 WEST ST STE 3B
MILFORD, MA
01757-1234

Practice Phone: 508-978-3081
Practice Fax:

1619949096 — MRS. DEBORAH MARIE CASSIDY D.C.
Practice Location Address:

113 7TH ST
MILFORD, PA
18337-1234

Practice Phone: 570-409-9500
Practice Fax: 570-409-9505

1346252004 — ADVANCED CHIROPRACTIC SYSTEMS LLC
Practice Location Address:

113 7TH ST , LUMBERYARD SHOPS
MILFORD, PA
18337-1234

Practice Phone: 570-409-9500
Practice Fax: 570-409-9505

Directions to “ SHANNON MARTIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.