Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emma Faye Shannon, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1013404839

Emma Faye Shannon, MSW, LICSW is a Clinical Social Worker in Duluth, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

1502 London Rd Ste 205
Duluth, MN 55812-1788
Phone: (612) 234-4689
Fax: (612) 234-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16180 Hastings Ave Se, Prior Lake, MN 55372-9227 — (952) 443-4600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25047 (MN)

Record details

NPI number1013404839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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