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

Individual provider Clinical Social Worker · NPI 1962761361

Shannyn S Vicente, LCSW is a Clinical Social Worker in San Antonio, Texas. Practices as a sole proprietor. Licensed in Maine and Texas.

Licensed in
ME, TX
In the registry since
2012
Specialties on file
2
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

5108 Broadway Ste 220
San Antonio, TX 78209-5728
Phone: (210) 501-9869
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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 64962 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC13577 (ME)

Record details

NPI number1962761361
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2012
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

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