MEDICARE: SHANNON BAEHR LCSW, PLLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	15934661	OTHER	NY	CAQH

General Provider Information

NPI Number	:	1588580526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANNON BAEHR LCSW, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 328
Second Line	:
City	:	LOCKPORT
State	:	NY
Zip	:	14095-0328
Country	:	US
Telephone Number	:	716-869-1024
Fax Number	:	716-419-5129

Provider Business Practice Location Address
First Line	:	3829 FOREST PKWY STE 100
Second Line	:
City	:	NORTH TONAWANDA
State	:	NY
Zip	:	14120-3764
Country	:	US
Telephone Number	:	716-869-1024
Fax Number	:	716-419-5129

Authorized Official
Title or Position	:	PROVIDER/CEO
Name	:	MRS. SHANNON BAEHR
Credential	:	LCSW
Telephone Number	:	716-869-1024

Provider Enumeration Date	:	06/24/2026
Last Update Date	:	06/24/2026

Similar Medicare Providers

1376664516 — J.P. LEE, LLC
Practice Location Address:

421 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax: 308-532-4329

1740481738 — KIM GAY SPARGO LADC
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax:

1225263882 — PATTY K WILSON LMHP
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax: 308-532-4629

1396040556 — BRANDY BOGU P-960
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax:

1528496767 — J.P. LEE, LLC
Practice Location Address:

425 N OAK ST
NORTH PLATTE, NE
69101-3764

Practice Phone: 308-532-8300
Practice Fax: 308-532-4629

1629594213 — SARAH'S HOMECARE AGENCY LLC
Practice Location Address:

17017 W DIXIE HWY # 111
NORTH MIAMI BEACH, FL
33160-3764

Practice Phone: 786-565-8498
Practice Fax: 646-517-8402

Directions to “SHANNON BAEHR LCSW, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.