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

Individual provider Clinical Social Worker · NPI 1285446708

Shannon Vavrusa, LCSW is a Clinical Social Worker in Antioch, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
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

311 W Depot St
Antioch, IL 60002-1500
Phone: (331) 725-1190
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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 149.028640 (IL)

Record details

NPI number1285446708
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing addressW145 Lilac Ave, Genoa City, WI 53128-1986

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