MEDICARE: SHANNON BENDER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW024637	PA

General Provider Information

NPI Number	:	1699336255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON BENDER LCSW

Provider Business Mailing Address
First Line	:	832 W 2ND ST
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-2120
Country	:	US
Telephone Number	:	215-687-7996
Fax Number	:

Provider Business Practice Location Address
First Line	:	832 W 2ND ST
Second Line	:
City	:	LANSDALE
State	:	PA
Zip	:	19446-2120
Country	:	US
Telephone Number	:	215-687-7996
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2019
Last Update Date	:	11/06/2025

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Directions to “ SHANNON BENDER LCSW” Practice Location

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