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

Individual provider Counselor · NPI 1275007601

Shannon M Bates, MSW, LCSW is a Counselor in Medford, Oregon. Licensed in California and Oregon. Registered with an NPI since 2019.

Licensed in
CA, OR
In the registry since
2019
Specialties on file
3
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 Partly verified

Some contact details are missing from the federal record.

Telehealth From Home 1857 Brookhurst St
Medford, OR 97504
Phone: (458) 206-4784
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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 L12986 (OR)
Counselor Taxonomy 101Y00000X · Licence ASW70857 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 93649 (CA)

Record details

NPI number1275007601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESMay 20, 2024
Certification dateJanuary 21, 2020

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