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

Individual provider Clinical Social Worker · NPI 1093142630

MS. Shontay Marie Roe, LCSW is a Clinical Social Worker in Evanston, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2013
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

109 Barrett Ave
Evanston, WY 82930
Phone: (307) 679-3854
Fax: (307) 789-4225
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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 LCSW-1037 (WY)

Record details

NPI number1093142630
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 27, 2013
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

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