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

Shannon Gantt Shore, LCSW

Individual provider Clinical Social Worker · NPI 1386911451

Shannon Gantt Shore, LCSW is a Clinical Social Worker in Salisbury, North Carolina. Practices as a sole proprietor. Licensed in District of Columbia, Indiana, Maine and North Carolina and 1 more.

Licensed in
DC, IN, ME, NC, VA
In the registry since
2011
Specialties on file
5
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

479 Stafford Estates Dr
Salisbury, NC 28146-0515
Phone: (704) 677-9012
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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 C007665 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC00002032 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC21651 (ME)
Clinical Social Worker Taxonomy 1041C0700X · Licence 904014279 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34010177A (IN)

Record details

NPI number1386911451
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 17, 2011
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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