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

Shannon L Gilson, LCSW

Individual provider Social Worker · NPI 1477052579

Shannon L Gilson, LCSW is a Clinical Social Worker in De Pere, Wisconsin. Qualified in 2017, 9 years ago. Practices with Ccp Clinic LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
9
Licensed in
MI, WI
In the registry since
2018
Specialties on file
2
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

3860 Monroe Rd
De Pere, WI 54115-8399
Phone: (920) 496-4700
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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 9652-123 (WI)
Social Worker Taxonomy 104100000X · Licence 6801102121 (MI)

Record details

NPI number1477052579
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 5, 2018
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ccp Clinic Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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