Shannon Rae Peele, LCSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710101882 Issued in VA

Practice address

850 Tidewater Dr
Suite a
Norfolk, VA 23504-3300

Phone

(757) 616-0675

Fax

(757) 616-0738

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649394032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 FERGUSON PL",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353259",
            "telephone_number": "757-535-6547",
            "fax_number": "757-616-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 TIDEWATER DR",
            "address_2": "SUITE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043300",
            "telephone_number": "757-616-0675",
            "fax_number": "757-616-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELE",
        "first_name": "SHANNON",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101882",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Services of America, LLC
• Beata Pedlowska
• Pedro D Hasas, MD, PLC
• Richard Peebles III
• Sarah Peebles
• Brianna Noelle Peeples, DDS
• Pegram & Cornetta P L C
• Linda D Pegram, M.D.
• Roxanne Pegram, CRNA
• Hollis Pei

• Addiction (Substance Use Disorder) Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.