Shannon Gantt Shore, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007665 Issued in NC

Practice address

479 Stafford Estates Dr
Salisbury, NC 28146-0515

Phone

(704) 677-9012

NPI assigned

Nov 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1386911451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 STAFFORD ESTATES DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281460515",
            "telephone_number": "704-677-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 STAFFORD ESTATES DR",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281460515",
            "telephone_number": "704-677-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "SHANNON",
        "middle_name": "GANTT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007665",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC00002032",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC21651",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "904014279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010177A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamikki Rene Shipp, P-LCSW
• Jody P Shivey, OT
• Catherine B. Shoe, PT
• Sarah Leann-Grace Shoffner
• Rebecca Shomo, MLA, LAT, ATC
• Kevin Joseph Showfety, D.D.S., M.S.
• Sacheen Shrestha, M.D.
• Robert Desmond Shura, PSY.D.
• M Yousuf Siddiqui, M.D.
• Amie Thoburn Sides, MS SLP

• Clinical Social Worker in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.