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

Shannon Leigh Easley

Individual provider Social Worker · NPI 1326397696

Shannon Leigh Easley is a Clinical Social Worker in Provo, Utah. Qualified in 2024, 2 years ago. Licensed in Utah.

Years since qualifying
2
Licensed in
UT
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

750 N 200 E
Provo, UT 84606-1705
Phone: (801) 373-4760
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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 8809887-3502 (UT)
Social Worker Taxonomy 104100000X · Licence 8809887-3503 (UT)
Case Manager/Care Coordinator Taxonomy 171M00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1326397696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2012
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Provo