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

Shannon Weaver, LCSW

Individual provider Mental Health Counselor · NPI 1053993501

Shannon Weaver, LCSW is a Mental Health Counselor in Park City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2021
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

3100 Pinebrook Rd Ste 1250B
Park City, UT 84098-5663
Phone: (801) 631-7476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 5121600-3501 (UT)

Record details

NPI number1053993501
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 24, 2021
Last updated in NPPESApril 24, 2021
Certification dateApril 24, 2021
Mailing address882 S 550 E, Heber City, UT 84032-4547

Other providers in Park City