P Praxis·MD
● Active Type 1 · Individual

Lucinda Susan Shannon, LCSW

Social Worker·Coeur D Alene, ID· NPI 1962495259 · Enumerated 2005 · 20 years on NPI
Shannon is 1 of 108 social worker providers in Coeur D Alene and 1 of 2000 in Idaho.
NPI age
20 years
Enumerated 2005-08-23
Primary specialty
Social Worker
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2000 active social worker providers in Idaho.

NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
2201 Ironwood Place
Coeur D Alene, ID 83814
📞 2087694222fax 8448037399
Mailing address
Po Box 1387
Hayden, ID 838351387
📞 2084150299fax 2086252070

Specialties

  • Social Worker Primary
    A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be...
    ID license #LCSW889 taxonomy 1041C0700X

Identifiers

TypeValueNotes
05 (ID) 800012721
01 (ID) HPS21 BLUE CROSS

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new social worker provider has been added in Coeur D Alene in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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