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

Mr. John Gerard Shannon, LICSW

Individual provider Clinical Social Worker · NPI 1164258521

Mr. John Gerard Shannon, LICSW is a Clinical Social Worker in Edmonds, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2024
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

21601 76th Ave W Fl 1
Edmonds, WA 98026-7507
Phone: (206) 940-2017
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW00009627 (WA)

Record details

NPI number1164258521
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedSeptember 12, 2024
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024

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