Individual provider · Type 1 NPI

Shannon O'Brien, LCSW

Student in an Organized Health Care Education/Training Program · Vacaville, CA

NPI number 1962088062 Active

Practice location

1600 California Drive
Vacaville, CA 95696-2237

Mailing address

626 W Lancaster Blvd Unit 128
Lancaster, CA 93534-3108

Other practice locations

  • 626 W Lancaster Blvd Unit 128, Lancaster, CA 93534-3108 · (661) 434-5997

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X89763 (CA)
Clinical Social Worker 1041C0700X0904014443 (VA)
Clinical Social Worker 1041C0700X102476 (NY)
Clinical Social Worker 1041C0700X44SC06383300 (NJ)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

26 other providers at this address

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About NPI 1962088062

Shannon O'Brien, LCSW's National Provider Identifier is 1962088062, issued on Mar 20, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Vacaville, CA. The record was last updated on Oct 8, 2026.