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

Shannon L Wilson, LCSW

Individual provider Clinical Social Worker · NPI 1013396175

Shannon L Wilson, LCSW is a Clinical Social Worker in Mountain Home AFB, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2015
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.

See every abbreviation used in this directory →

Practice location Address checks out

90 Hope Dr Bldg 6000
Mountain Home AFB, ID 83648-1062
Phone: (208) 288-7580
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-36402 (ID)
Social Worker Taxonomy 104100000X · Licence LMSW-33063 (ID)

Record details

NPI number1013396175
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 22, 2015
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Other providers in Mountain Home AFB