Provider Demographics
NPI:1295219889
Name:ADAMS, SHANNON GARDNER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:GARDNER
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2808 MAYFIELD RD APT 406
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-5207
Mailing Address - Country:US
Mailing Address - Phone:614-597-9749
Mailing Address - Fax:
Practice Address - Street 1:237 W JAMISON CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4206
Practice Address - Country:US
Practice Address - Phone:614-597-9749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCSW.09929755104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker