Shannon Savage Sullivan, LSWAIC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC61663813 Issued in WA

Practice address

4703 Shoreline CT
Pasco, WA 99301-9091

Phone

(509) 430-0482

NPI assigned

Feb 25, 2025

Last updated

Mar 17, 2025By the provider in NPPES

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": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1922805217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 SHORELINE CT",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019091",
            "telephone_number": "509-430-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 SHORELINE CT",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019091",
            "telephone_number": "509-430-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "SHANNON",
        "middle_name": "SAVAGE",
        "name_prefix": "Ms.",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61663813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Stuhl, CCC-SLP
• Jasmine Suarez, RDH
• Marjorie Mae Suarez, CDP.CP.61523163
• James Chester Sullivan, O.D.
• Mariah M Sullivan, CCC-SLP
• William Eugene Sullivan, O.D.
• Jeremy Sun, D.D.S
• Denise V Swanson, DPT
• Stephane Marie Szendre
• Stanley Tabugbo

• Clinical Social Worker in Pasco, WA
• Providers in Pasco, 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 Mar 17, 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.