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

Individual provider Clinical Social Worker · NPI 1952672792

Shannon Rene Vega, LICSW is a Clinical Social Worker in Olympia, Washington. Qualified in 2016, 10 years ago. Practices with Wapato Creek Health and Wellness, Inc, a 3-clinician group, works from 2 locations and offers telehealth.

Years since qualifying
10
In the registry since
2012
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1011 10th Ave SE
Olympia, WA 98501-1566
Phone: (360) 878-8248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4606 N Cactus Hills Ct, Sparks, NV 89436-2632 — (866) 622-4837

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1952672792
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 25, 2012
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wapato Creek Health And Wellness, Inc. — 3 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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