Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shannon Kellim Young, LP, LCSW

Individual provider Clinical Social Worker · NPI 1750511408

Dr. Shannon Kellim Young, LP, LCSW is a Clinical Social Worker in Eugene, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1210 Pearl St
Eugene, OR 97401-3573
Phone: (541) 344-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 2298 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4454 (OR)

Record details

NPI number1750511408
Entity typeIndividual (Type 1)
GenderFemale
Credentials LP , LCSW
Sole proprietorYes
NPI enumeratedJuly 15, 2009
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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