Patrick Shannon, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATRICK SHANNON, LCSW, PLLC

Practice address

3700 S Russell St Ste B110
Missoula, MT 59801-8574

Phone

(406) 763-6611

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Patrick Shannon, LCSW

Title

Therapist/Owner

Phone

(406) 763-6611

Specialties & licenses 1

Addresses

Other names 2

• Patrick Shannon, LCSW, PLLC Doing business as
• Patrick Shannon, LCSW Former legal business name

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1619644929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598060801",
            "telephone_number": "406-763-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S RUSSELL ST STE B110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018574",
            "telephone_number": "406-763-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK SHANNON, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "406-763-6611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Shannon, LCSW, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patrick Shannon, LCSW",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William D Patenaude, PHD
• Pathology Associates Medical Laboratories, LLC
• Pathology Consultants of Western Montana, P.C.
• Patientone Inc,
• Patrick J. Cindrich, M.D. P.C.
• Tara L Patrick, NP
• Kristina Marie Pattison, DPT, OCS, CSCS
• Paul J. Miller, D.C., P.C.
• Paula R Huston
• Heidi Pauldine

• Clinical Social Worker in Missoula, MT
• Providers in Missoula, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.