Provider Demographics
NPI:1174355952
Name:VOLKER, SHANNON L
Entity type:Individual
Prefix:
First Name:SHANNON
Middle Name:L
Last Name:VOLKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHANNON
Other - Middle Name:L
Other - Last Name:YOCKEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSW, QMHP
Mailing Address - Street 1:4300 S LOUISE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-3124
Mailing Address - Country:US
Mailing Address - Phone:605-334-7713
Mailing Address - Fax:
Practice Address - Street 1:4300 S LOUISE AVE STE 201
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3124
Practice Address - Country:US
Practice Address - Phone:605-334-7713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD66931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical