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

Shannon Rae Lutz, LCSW

Individual provider Clinical Social Worker · NPI 1891931895

Shannon Rae Lutz, LCSW is a Clinical Social Worker in Hurley, Wisconsin. Qualified in 2008, 18 years ago. Practices with The Lakes Community Health Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
18
Licensed in
MI, WI
In the registry since
2008
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.

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Practice location Address checks out

115 5th Ave N
Hurley, WI 54534-1208
Phone: (153) 291-2887
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 10176 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801090552 (MI)

Record details

NPI number1891931895
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 21, 2008
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice The Lakes Community Health Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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