Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON L WILSON, LCSW
Active Sole ProprietorSHANNON L WILSON, LCSW is a Clinical Social Worker healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1013396175 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MOUNTAIN HOME AFB, ID
Registration Details
- NPI Number
- 1013396175
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2015 (11.209966828456 yrs)
- Last Updated
- Dec 1, 2025
- Licenses
-
LCSW-36402 (ID)LMSW-33063 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
90 HOPE DR BLDG 6000MOUNTAIN HOME AFB, ID, 836481062Browse ID providers · Browse ZIP 83648
- Phone
- 2082887580
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Social Worker
Other Clinical Social Worker Providers in MOUNTAIN HOME AFB, ID
| Name | Credential | NPI |
|---|---|---|
| THOMAS MADDEN | — | 1669444220 |
| THOMAS MICHAEL SMITH | LCSW | 1306051065 |
| ROBERTO OLVERA | LCSW | 1306094941 |
| GAYNELL DENISE HILL | LCSW, MAC | 1366772253 |
| DEBRA E HAYTON | LCSW | 1417236928 |
| DR. CLEO PATRICK | PHD, LCSW, LICSW | 1275888943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.