Individual provider · Type 1 NPI

Shannon C. Bayless, MSW, LICSW

Clinical Social Worker · Duluth, MN

NPI number 1386255545 Active

Practice location

810 E 4th St
Duluth, MN 55805-2147

Call (218) 624-5683 Map

Fax (218) 624-5736

Mailing address

1401 East 1st Street
Duluth, MN 55805-2407

Other practice locations

  • 325 11th Ave, Two Harbors, MN 55616-1300 · (218) 834-5520
  • 40 11th St, Cloquet, MN 55720-1817 · (218) 879-4559
  • 1406 E 2nd St, Duluth, MN 55805-2378 · (218) 728-4491
  • 1401 East 1st Street, Duluth, MN 55805-2407 · (218) 728-4491

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X27225 (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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About NPI 1386255545

Shannon C. Bayless, MSW, LICSW's National Provider Identifier is 1386255545, issued on Aug 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Duluth, MN. The record was last updated on Aug 12, 2020.