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

Shannon Booker, LCSW

Individual provider Clinical Social Worker · NPI 1437742012

Shannon Booker, LCSW is a Clinical Social Worker in Fort Collins, Colorado. Qualified in 2014, 12 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2021
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 Coronado Ct Bldg 7
Fort Collins, CO 80525-4929
Phone: (970) 795-8419
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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 CSW.09926094 (CO)

Record details

NPI number1437742012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023
Mailing address5017 Prairie Lark Ln, Severance, CO 80615-8105

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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