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

Shannon Rakes, LCSW

Individual provider Clinical Social Worker · NPI 1629403209

Shannon Rakes, LCSW is a Clinical Social Worker in Victoria, Virginia. Qualified in 2009, 17 years ago. Practices with Southern Dominion Health System Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

1685 K-V Rd
Victoria, VA 23974
Phone: (434) 696-2319
Fax: (434) 696-2326
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 0904008365 (VA)

Record details

NPI number1629403209
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southern Dominion Health System Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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