NPI 1477009041 · live from the CMS NPI Registry
Shannon Andrews, LCSW
Social Worker, Clinical in Hayden, ID. National Provider Identifier 1477009041, active.
NPI record
| NPI | 1477009041 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9494 N Government Way # 103, Hayden, ID 83835 |
| Practice phone | 208-967-6895 |
| Mailing address | Po Box 1575, Post Falls, ID 83877 |
| Enumerated | September 1, 2016 |
| Last updated | October 5, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Social Worker, Clinical primary | 1041C0700X | LCSW-36039 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.