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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669754271

Latasha Shannon, LMSW, CAADC is a Clinical Social Worker in Plymouth, Michigan. Qualified in 2007, 19 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2011
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

447 Forest Ave Ste 1
Plymouth, MI 48170-1721
Phone: (734) 635-3499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801089411 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C-02511 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801089411 (MI)

Record details

NPI number1669754271
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , CAADC
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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