Shannon Wilson, LCSW
NPI 1013396175 · Clinical Social Worker · Mountain Home Afb, ID
Shannon Wilson, LCSW is a Clinical Social Worker provider in Mountain Home Afb, ID (NPI 1013396175).
Provider details
- NPI number
- 1013396175
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LCSW-36402 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-22
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Shannon Wilson's NPI number?
- Shannon Wilson's National Provider Identifier (NPI) is 1013396175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wilson's specialty?
- Shannon Wilson is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Wilson located?
- Shannon Wilson's practice location on file with NPPES is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062.
- What is Shannon Wilson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wilson is (208) 288-7580.
- Is Shannon Wilson's NPI active?
- Yes — Shannon Wilson's NPI (1013396175) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.