LUCINDA SUSAN SHANNON


Address: 2201 Ironwood Place, Coeur D Alene, ID 83814
Phone: 2087694222

LUCINDA SUSAN SHANNON (NPI# 1962495259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962495259
Entity Type Individual
Full Name LUCINDA SUSAN SHANNON
Credential LCSW
Practice Address 2201 Ironwood Place
Coeur D Alene
ID 83814
Mailing Address Po Box 1387
Hayden
ID 83835-1387
Practice Telephone 2087694222
Practice Fax Number 8448037399
Mailing Telephone 2084150299
Mailing Fax Number 2086252070
Enumeration Date 2005-08-23
Last Update Date 2019-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
LCSW889 ID Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID BLUE CROSS HPS21 01
ID 800012721 05

Office Location

Street Address 2201 IRONWOOD PLACE
City COEUR D ALENE
State ID
Zip Code 83814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932580156 Sierra Colleen Swick. Counselor 2201 Ironwood Place, Ste 100, Coeur D Alene, ID 83814-2785 2015-06-12
1578974192 Natalie Anne Keese-hamm Marriage & Family Therapist 2201 Ironwood Place, Coeur D Alene, ID 83815 2014-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477162675 Dehra Mcfaddan Social Worker 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 2020-07-24
1043838634 Yendi Labelle Nurse Practitioner 1115 N Ironwood Drive, Coeur D'alene, ID 83814 2020-07-09
1295353217 Cultivation, LLC Counselor 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 2020-07-07
1306487517 Northwest Integrated Health, LLP Clinic/Center 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 2019-09-30
1730740465 Connor Williams Physical Therapist 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 2019-06-24
1912480153 Nadine M Lewis Social Worker 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 2018-09-13
1992208631 Orthopedic Surgery and Sports Orthopaedic Surgery 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 2018-03-08
1346758042 Heather Marie Johnson Counselor 7905 Meadowlark Way, Cda, ID 83814 2018-01-16
1881113413 Brevity Treatment Services Counselor 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 2017-09-14
1366969628 Jennifer La Gina Highfield Massage Therapist 1104 N Ste B, Coeur D Alene, ID 83814 2017-08-28
Find all providers in zip 83814

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497377469 Raising Resilience Holistic Mental Wellness Inc Social Worker 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 2020-05-13
1952823148 Amy Michelle Jenkins Social Worker 1115 W Ironwood Dr Ste A, Coeur D Alene, ID 83814-4937 2017-07-10
1679937437 Jason Fredrick Bradfish Social Worker 118 N 7th St Ste C3, Coeur D Alene, ID 83814-2736 2016-04-07
1912348186 Bailey Jennette White Social Worker 1105 W Ironwood Dr Lowr Level, Coeur D Alene, ID 83814 2013-07-16
1679824965 Joy'l Jenkins Social Worker 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 2012-09-26
1013277888 Donna Colberg Social Worker 6050 E Kingswood Ln, Coeur D Alene, ID 83814-5263 2012-05-25
1649568262 Paul A Grayhek Social Worker 1406 N Galena Dr, Coeur D Alene, ID 83814-5990 2011-07-17
1285933358 Kathleen Fairbanks Social Worker 401 1/2 E Sherman Ave Ste 203, Coeur D Alene, ID 83814-2745 2011-03-15
1578869780 Sheri Starbird Weistaner Social Worker 602 E Garden Ave Ste 5, Coeur D Alene, ID 83814-2945 2011-02-04
1093036147 Jud Eugene Leifheit Social Worker 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814-2784 2010-06-11
Find all providers in COEUR D ALENE

Competitor

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City COEUR D ALENE
Zip Code 83814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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