SHANNON WILSON, LCSW

Social Worker - Clinical

Active Individual
NPI: 1013396175

Practice Address

90 HOPE DR BLDG 6000
Mountain Home Afb, ID 83648

Phone: (208) 288-7580

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes LCSW-36402 (ID)
Social Worker 104100000X No LMSW-33063 (ID)

Frequently Asked Questions

NPI 1013396175 is the National Provider Identifier for SHANNON WILSON, LCSW, a Social Worker - Clinical provider located in Mountain Home Afb, ID. This NPI was enumerated on May 22, 2015.
SHANNON WILSON, LCSW practices at 90 HOPE DR BLDG 6000, Mountain Home Afb, ID 83648.

Quick Facts

NPI
1013396175
Type
Individual
Enumerated
May 22, 2015
Last Updated
Dec 1, 2025

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