Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dawn Shepherd, LICSW

Individual provider Clinical Social Worker · NPI 1124415237

Dawn Shepherd, LICSW is a Clinical Social Worker in Kennewick, Washington. Qualified in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Licensed in
WA
In the registry since
2015
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3311 W Clearwater Ave Ste D111
Kennewick, WA 99336-2696
Phone: (509) 531-6351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00006429 (WA)

Record details

NPI number1124415237
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedApril 16, 2015
Last updated in NPPESMay 6, 2017
Mailing address2672 Tiger Ln, Richland, WA 99352-8001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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