Individual provider · Type 1 NPI
Emma Faye Shannon, MSW, LICSW
Clinical Social Worker · Duluth, MN
Practice location
1502 London Rd Ste 205
Duluth, MN 55812-1788
Fax (612) 234-4689
Mailing address
PO Box 51
Victoria, MN 55386-0051
Other practice locations
- 16180 Hastings Ave SE, Prior Lake, MN 55372-9227 · (952) 443-4600
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 25047 (MN) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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- Angela Bub, LCSW LICSW CCTPClinical Social Worker Duluth, MN NPI 1013308329
- Natalie Jo Ryan, MSW, LICSWClinical Social Worker Duluth, MN NPI 1023680550
- Zayla Asquith-Heinz, LGSWClinical Social Worker Duluth, MN NPI 1023795226
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About NPI 1013404839
Emma Faye Shannon, MSW, LICSW's National Provider Identifier is 1013404839, issued on Apr 17, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Dec 10, 2024.