IndividualActive
Shannon Cooper, LCSW
NPI 1710697438 · Clinical Social Worker · Mount Vernon, ME
Provider details
- NPI number
- 1710697438
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- LC25315 (ME)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
29 Breezy Acres
Mount Vernon, ME 04352-3534
Phone: (207) 994-7146
Street-level locationGet directions
Mailing address
29 Breezy Acres
Mount Vernon, ME 04352-3534
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.