Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Marie Kroenke, MSW, LCSW, MT-BC

Individual provider Clinical Social Worker · NPI 1407109408

Shannon Marie Kroenke, MSW, LCSW, MT-BC is a Clinical Social Worker in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012
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 Address checks out

101 E 8th St Ste 110
Vancouver, WA 98660-3294
Phone: (360) 524-2126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LW60887254 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60887254 (WA)
Military Health Care Provider Taxonomy 171000000X · Licence LW60887254 (WA)

Record details

NPI number1407109408
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , MT-BC
Sole proprietorYes
NPI enumeratedOctober 16, 2012
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

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