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

Individual provider Clinical Social Worker · NPI 1790917987

Kaiya Shannon, LCSW is a Clinical Social Worker in Fort Myers, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2009
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

15901 Bass Rd Ste 108
Fort Myers, FL 33908-3838
Phone: (239) 343-6050
Fax: (239) 343-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 92 W Miller St, Orlando, FL 32806-2032 — (321) 841-7116

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW 9520 (FL)

Record details

NPI number1790917987
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 20, 2009
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020

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