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SHANNON RAKES LCSW
NPI 1629403209
Social Worker - Clinical in Victoria, VA

Active since September 13, 2013PECOS EnrolledAccepts Medicare Assignment
1685 K-V ROAD, VICTORIA, VA 23974(434) 696-2319(434) 696-2326 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Jun 12, 2018 (2 updates tracked since 2018).

About Shannon Rakes Lcsw NPPES

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

SHANNON RAKES LCSW (NPI 1629403209) is an individual clinical provider in Victoria, Virginia, licensed in Virginia (0904008365) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629403209
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON RAKESCredential: LCSW
Location Address1685 K-V ROADVictoria, VA 23974
Mailing AddressPo Box 70Victoria, VA 23974-0070 · (434) 696-2319 · Fax (434) 696-2326
Phone(434) 696-2319
Fax(434) 696-2326
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 13, 2013
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1629403209 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 VA · 0904008365
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.
1685 K-V ROAD, Victoria, VA 23974
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Rakes Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365765724
PECOS Enrollment IDI20141216002363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Rakes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Dominion Health System, Inc.
Same address
Federally Qualified Health Center (FQHC)
1508 K-V ROAD
Victoria, VA 23974
  • Reassigned Medicare billing, Virginia enrollment
  • 23 clinicians in this Medicare group
NPI 1497969091 (434) 696-2165

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23974 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ASHLEY POLLARD DDS
Dentist
1685 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-4180
DR. ABA EDZIEBA MILLS-ROBERTSON DDS
Dentist
1685 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-4180
DR. SCOTT O. DAVIS LCSW
Social Worker (Clinical)
1685 K-V ROAD
VICTORIA, VA 23974
Lunenburg County (434) 696-2319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Rakes's NPI number?

The NPI number for Shannon Rakes is 1629403209. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Shannon Rakes located?

Shannon Rakes practices at 1685 K-V Road, Victoria, VA 23974. The listed phone number is (434) 696-2319.

What is Shannon Rakes's specialty?

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

Is Shannon Rakes enrolled in Medicare?

Yes. Shannon Rakes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shannon Rakes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Rakes reassigns Medicare benefits to Southern Dominion Health System, Inc. (Victoria, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Rakes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Rakes was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.