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

Shannon L Grantham, LCSW

Individual provider Counselor · NPI 1568633048

Shannon L Grantham, LCSW is a Counselor in Bastrop, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
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

323 W Walnut Ave
Bastrop, LA 71220-4521
Phone: (318) 665-9950
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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 002907292 (LA)
Counselor Taxonomy 101Y00000X · Licence 5310 (LA)

Record details

NPI number1568633048
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 12, 2008
Last updated in NPPESSeptember 14, 2016

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