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

Shannon Tantillo, LCSW-S, LCDC

Individual provider Clinical Social Worker · NPI 1508370222

Shannon Tantillo, LCSW-S, LCDC is a Clinical Social Worker in Houston, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

3313 Damico St
Houston, TX 77019-1905
Phone: (713) 562-3709
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 36057 (TX)

Record details

NPI number1508370222
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-S , LCDC
Sole proprietorYes
NPI enumeratedNovember 17, 2017
Last updated in NPPESNovember 17, 2017

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