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Individual

SHANNON M JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
4759 RESERVOIR RD NW, WASHINGTON, DC 20007-1921
(202) 965-6600
Mailing address
4759 RESERVOIR RD NW, WASHINGTON, DC 20007-1921
(202) 965-6600

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
0904020058
VA
1041C0700X
Clinical Social Worker
Primary
LC200004741
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629062906
MA
Enumeration date
09/19/2012
Last updated
04/23/2026
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