Lydia Shannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09925641 Issued in CO

Practice address

1500 N Grant St Ste N
Denver, CO 80203-1859

Phone

(443) 834-6960

NPI assigned

Mar 4, 2017

Last updated

Mar 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pine Grove Counseling Center LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1255080628
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1093255416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "443-834-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "443-834-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "LYDIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-04",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09925641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Monroe Shankar, PA-C
• Jason Shankle, LAC, LPC-S, MFTC
• David Everett Shanley, PSYD
• Diann Shannon, PSY.D.
• Grace A Shannon, NP
• Lily Ruth Shapcott, LPCC
• Alexander Shapiro, M.D.
• David Scott Shapiro, DC
• Deborah A Shapiro, RN
• Joan R Shapiro, M.D.

• Clinical Social Worker in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.