Provider Demographics
NPI:1992083687
Name:KEE, SHAUNTE MICHELE (LICSW)
Entity type:Individual
Prefix:
First Name:SHAUNTE
Middle Name:MICHELE
Last Name:KEE
Suffix:
Gender:
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 MAIN ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4342
Mailing Address - Country:US
Mailing Address - Phone:508-586-2660
Mailing Address - Fax:508-427-1505
Practice Address - Street 1:501 WAMPANOAG TRL UNIT 400
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-1507
Practice Address - Country:US
Practice Address - Phone:401-785-0040
Practice Address - Fax:508-427-1505
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW043161041C0700X
MALICSW1207541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical