NPI

John Gerard Shannon

NPI 1164258521

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
LICSW
Type
Individual
Enumeration date
2024-09-12
Last updated
2024-09-12

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Specialties

Licenses

License WA
LW00009627

Location

Practice location
21601 76th Ave W Fl 1
City
Edmonds WA
Postal code
98026-7507
Phone
(206) 940-2017

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Clinical Social Workers in Edmonds, WA. 46 with this primary taxonomy in the public file.

Other NPIs in Edmonds, WA. 1,949 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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