MEDICARE: SHANNON WEBB

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	LW60849226	WA

General Provider Information

NPI Number	:	1184084253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON WEBB

Provider Business Mailing Address
First Line	:	508 DARBY DR UNIT 216
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-1748
Country	:	US
Telephone Number	:	360-305-5553
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 N COMMERCIAL ST STE 1400
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4437
Country	:	US
Telephone Number	:	360-734-0615
Fax Number	:

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

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	11/05/2025

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Directions to “ SHANNON WEBB ” Practice Location

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