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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON L WILSON, LCSW

Active Sole Proprietor

SHANNON 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 6000
MOUNTAIN HOME AFB, ID, 836481062
Browse 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.