MRS. SHANNON MARIE ETCHEVERRY LCSW - NPI 1245570712

Q: What is Shannon Etcheverry's NPI number?

The NPI number for Shannon Etcheverry is 1245570712. It was assigned to this individual provider in the NPPES registry on February 21, 2013.

Q: What is Shannon Etcheverry's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Mrs. Shannon Marie Etcheverry Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON MARIE ETCHEVERRY LCSW (NPI 1245570712) is an individual clinical provider in Houston, Texas, licensed in Texas (53487) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1245570712

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. SHANNON MARIE ETCHEVERRYCredential: LCSW

Location Address7011 SOUTHWEST FWYHouston, TX 77074-2007

Mailing Address6032 Airline DrHouston, TX 77076-4210 · (713) 970-8612 · Fax (713) 970-7246

Phone(713) 970-7000

Fax(713) 970-7246

Sole ProprietorNo

Enumeration DateFebruary 21, 2013

Last NPPES UpdateSeptember 7, 2017

✔ NPI 1245570712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TX · 53487

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7011 SOUTHWEST FWY, Houston, TX 77074

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TERESA PORATH LPC

Counselor (Professional)