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

Shannon Blair, LCSW

Individual provider Clinical Social Worker · NPI 1649904640

Shannon Blair, LCSW is a Clinical Social Worker in Salem, Virginia. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
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

110 E Main St
Salem, VA 24153-3805
Phone: (540) 404-1220
Fax: (540) 861-3738
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 212 Academy St Apt 2, Salem, VA 24153-3769 — (540) 404-1220

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904017399 (VA)

Record details

NPI number1649904640
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 14, 2022
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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