Shannon Jeanette Acuna, LICSW
Individual provider Active NPI Clinical Social Worker · St Louis Park, MN
NPI 1770100919 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1770100919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 18778 (MN)
- Practice address
- 5891 Cedar Lake Rd S # 205
St Louis Park, MN 55416-1460 - Phone
- (763) 438-5424
- NPI assigned
- Jul 4, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18778 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 18778 | MN | Yes |
Addresses
Primary practice location
5891 Cedar Lake Rd S # 205
St Louis Park, MN 55416-1460
Mailing address
10244 Quaker Lane N
Maple Grove, MN 55369
Other providers in St Louis Park, MN
- Raed D Abughazaleh
- Faruk Said Abuzzahab Sr.
- Sidoline Achemenkong
- Acqua Chiropractic, LLC
- Act Psychological Services, PLLC
- George Adam
- Nawal Abdulahi Adamali
- Rachel Rene Adams
- Roderick Adams
- Amina Adan
All providers in St Louis Park, MN · Clinical Social Worker in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.