What is John Shannon's NPI number?

John Shannon's National Provider Identifier (NPI) is 1164258521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is John Shannon's specialty?

John Shannon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is John Shannon located?

John Shannon's practice location on file with NPPES is 21601 76th Ave W Fl 1, Edmonds, WA 98026-7507.

What is John Shannon's phone number?

The practice phone number listed in the NPPES registry for John Shannon is (206) 940-2017.

Is John Shannon's NPI active?

Yes — John Shannon's NPI (1164258521) is active in the NPPES registry as of the last update on 2024-09-12.

IndividualActive

John Shannon, LICSW

NPI 1164258521 · Clinical Social Worker · Edmonds, WA

John Shannon, LICSW is a Clinical Social Worker provider in Edmonds, WA (NPI 1164258521).

Provider details

NPI number: 1164258521
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LICSW
Sex: Male
Sole proprietor: Yes
License: LW00009627 (WA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense LW00009627 (WA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr 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

21601 76th Ave W Fl 1

Edmonds, WA 98026-7507

Phone: (206) 940-2017

Street-level locationGet directions

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Mailing address