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

Shannon Rose, MSWCSWA

Individual provider Clinical Social Worker · NPI 1336406198

Shannon Rose, MSWCSWA is a Clinical Social Worker in White City, Oregon. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2012
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Practice location Address checks out

8385 Division Rd
White City, OR 97503-1176
Phone: (541) 826-5853
Fax: (541) 826-5843
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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 L6498 (OR)

Record details

NPI number1336406198
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWCSWA
Sole proprietorNo
NPI enumeratedApril 18, 2012
Last updated in NPPESFebruary 14, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in White City