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NPI Code Detail

MEDICARE: SHANNON MARIE EFFING LCSW

MEDICARE: SHANNON MARIE EFFING 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
1101YM0800XMental Health CounselorSW26220FL

General Provider Information

NPI Number : 1962341164
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARIE EFFING LCSW
Provider Business Mailing Address
First Line : 1018 NE 5TH AVE
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-1375
Country : US
Telephone Number : 941-639-8300
Fax Number :
Provider Business Practice Location Address
First Line : 1700 EDUCATION AVE
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-6222
Country : US
Telephone Number : 941-639-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ SHANNON MARIE EFFING LCSW” Practice Location

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