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

Individual provider Clinical Social Worker · NPI 1588845531

Shannon Threadgill, LCSW is a Clinical Social Worker in Peoria, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
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

8765 W Kelton Ln Bldg A2B3
Peoria, AZ 85382-3584
Phone: (602) 703-3557
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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 11688 (AZ)

Record details

NPI number1588845531
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 19, 2007
Last updated in NPPESJune 8, 2025
Certification dateJune 8, 2025
Mailing address7110 W Julie Dr, Glendale, AZ 85308-5830

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