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

Ismely Shannon, LCSW

Individual provider Clinical Social Worker · NPI 1154640381

Ismely Shannon, LCSW is a Clinical Social Worker in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

379 6th Ave W
Bradenton, FL 34205-8820
Phone: (941) 782-4100
Fax: (941) 782-4101
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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 SW12247 (FL)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1154640381
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 27, 2010
Last updated in NPPESOctober 17, 2014

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