# PATRICK SHANNON, LCSW, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Patrick Shannon, LCSW, PLLC, Patrick Shannon, LCSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619644929
- **Authorized official:** PATRICK SHANNON LCSW (THERAPIST/OWNER)
- **Authorized official phone:** (406) 763-6611

## Contact information

- **Practice address:** 3700 S RUSSELL ST STE B110, MISSOULA, MT 59801-8574
- **Practice address phone:** (406) 763-6611
- **Mailing address:** PO BOX 801, MISSOULA, MT 59806-0801
- **Mailing address phone:** (406) 763-6611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/24/2021
- **Last updated:** 12/29/2021