Individual provider · Type 1 NPI

Shannon De Roque, SSW

Clinical Social Worker · Houston, TX

NPI number 1548543259 Active

Practice location

9401 Southwest Fwy
Houston, TX 77074-1407

Call (713) 970-7000 Map

Mailing address

750 N 200 W, Suite 300
Provo, UT 84601-1677

Other practice locations

  • 750 N 200 W, Suite 300, Provo, UT 84601-1677 · (801) 373-4760

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X7353963-3503U (UT)
Clinical Social Worker Primary 1041C0700X105625 (TX)

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 1548543259

Shannon De Roque, SSW's National Provider Identifier is 1548543259, issued on Sep 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Houston, TX. The record was last updated on Feb 1, 2024.