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

Shannon Dolan

Individual provider Clinical Social Worker · NPI 1003556135

Shannon Dolan is a Clinical Social Worker in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Phone: (309) 589-6800
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 149024396 (IL)

Record details

NPI number1003556135
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 29, 2022
Last updated in NPPESMarch 29, 2022
Certification dateMarch 29, 2022
Mailing address809 Dogwood Dr, Washington, IL 61571-2336

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