Provider Demographics
NPI:1912247115
Name:MCLAFFERTY, SHANNON E (LCSW)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:E
Last Name:MCLAFFERTY
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 1:301 W GROVE ST
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2090
Mailing Address - Country:US
Mailing Address - Phone:570-466-9438
Mailing Address - Fax:570-587-5224
Practice Address - Street 1:301 W GROVE ST
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2090
Practice Address - Country:US
Practice Address - Phone:570-466-9438
Practice Address - Fax:570-587-5224
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0203951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical