SHANNON LEE CSC-AD
NPI 1639049117
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since November 10, 2025
3455 WILKENS AVE, BALTIMORE, MD 21229(410) 646-6970 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Lee Csc-ad NPPES

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

SHANNON LEE CSC-AD (NPI 1639049117) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (SC0347) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1639049117
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHANNON LEECredential: CSC-AD
Location Address3455 WILKENS AVEBaltimore, MD 21229-5213
Mailing Address3455 Wilkens AveBaltimore, MD 21229-5213 · (410) 646-6970
Sole ProprietorNo
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1639049117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MD · SC0347
3455 WILKENS AVE, Baltimore, MD 21229

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.

Clinic/Center (Methadone)
3455 WILKENS AVE, LOWER LEVEL 20
BALTIMORE, MD 21229
Nurse Anesthetist, Certified Registered
3455 WILKENS AVE, SUITE 100
BALTIMORE, MD 21229
Clinical Medical Laboratory
3455 WILKENS AVE, SUITE 205
BALTIMORE, MD 21229
Urology
3455 WILKENS AVE, SUITE 100
BALTIMORE, MD 21229
Clinic/Center (Rehabilitation, Substance Use Disorder)
3455 WILKENS AVE, SUITE 303
BALTIMORE, MD 21229
Licensed Practical Nurse
3455 WILKENS AVE
BALTIMORE, MD 21229
Registered Nurse
3455 WILKENS AVE
BALTIMORE, MD 21229
Counselor (Addiction (Substance Use Disorder))
3455 WILKENS AVE
BALTIMORE, MD 21229

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 Lee's NPI number?

The NPI number for Shannon Lee is 1639049117. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Shannon Lee located?

Shannon Lee practices at 3455 Wilkens Ave, Baltimore, MD 21229. The listed phone number is (410) 646-6970.

What is Shannon Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shannon Lee was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.