Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Elaine Moore, LCSW-C

Individual provider Clinical Social Worker · NPI 1245603315

Shannon Elaine Moore, LCSW-C is a Clinical Social Worker in Towson, Maryland. Qualified in 2004, 22 years ago. Practices with Well Life Counseling and Consulting, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
22
Licensed in
MD
In the registry since
2015
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Practice location Address checks out

120 Sister Pierre Dr
Towson, MD 21204-7516
Phone: (410) 337-9441
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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 21229 (MD)

Record details

NPI number1245603315
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-C
Sole proprietorYes
NPI enumeratedNovember 11, 2015
Last updated in NPPESNovember 11, 2015

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Well Life Counseling And Consulting, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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