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

Shannon Ericson, LCSW

Individual provider Clinical Social Worker · NPI 1629600820

Shannon Ericson, LCSW is a Clinical Social Worker in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
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

811 N Hancock St
Philadelphia, PA 19123-3014
Phone: (908) 763-7562
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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 CW020926 (PA)

Record details

NPI number1629600820
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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