# SHANNON PENNINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144028937
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 5957 | TN | — |
| 1041C0700X | Clinical Social Worker | 120798 | TX | Yes |
| 207LA0401X | Addiction Medicine (Anesthesiology) Physician | LSW0000005957 | TN | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 10/09/2026