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

Shanna Crowe, LSCSW

Individual provider Social Worker · NPI 1952789653

Shanna Crowe, LSCSW is a Clinical Social Worker in Fairfield, California. Qualified in 2011, 15 years ago. Practices with Kodiak Island Health Care Foundation, a 15-clinician group. Licensed in California and Kansas.

Years since qualifying
15
Licensed in
CA, KS
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

470 Chadbourne Rd Ste A
Fairfield, CA 94534-9620
Phone: (707) 419-8989
Fax: (707) 254-1779
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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 LCSW96553 (CA)
Social Worker Taxonomy 104100000X · Licence 8179 (KS)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSCSW4547 (KS)

Record details

NPI number1952789653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSCSW
Sole proprietorYes
NPI enumeratedMay 13, 2015
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kodiak Island Health Care Foundation — 15 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Fairfield