Shannon Jeffreys, LICSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61615286 Issued in WA

Practice address

5202 112TH St SW Apt 8
Lakewood, WA 98499-3069

Phone

(253) 317-6759

NPI assigned

Oct 24, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1811718562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 112TH ST SW APT 8",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993069",
            "telephone_number": "253-317-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 112TH ST SW APT 8",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993069",
            "telephone_number": "253-317-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREYS",
        "first_name": "SHANNON",
        "credential": "LICSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "61615286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Jarrett, MA
• Carmela Feliciana Jaurequi, BA
• Luis Eymard Javier
• Andrew Fardin Jazbani, DPT
• Jeffrey W. Thurston Arnp, Inc.
• Cartney V Jelinek
• Matthew V Jenkins, M.D.
• Sharra Lynn Jenkins, MA, MHP
• Jennifer Ray, DC, PLLC
• Anthony Jennings

• Clinical Social Worker in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.