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

Individual provider Clinical Social Worker · NPI 1639930589

Shannon Lee Graham, MSW, LCSW is a Clinical Social Worker in Madison, Wisconsin. Qualified in 2011, 15 years ago. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2024
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

2010 Eastwood Dr Ste 300
Madison, WI 53704-5387
Phone: (608) 509-9287
Fax: (608) 630-8089
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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 10246-123 (WI)

Record details

NPI number1639930589
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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