SHANNON BLAIR LCSW
NPI 1649904640
Social Worker - Clinical in Salem, VA

Active since July 14, 2022PECOS Enrolled
110 E MAIN ST, SALEM, VA 24153(540) 404-1220(540) 861-3738 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Dec 28, 2025, Jul 18, 2022 and 1 more (4 updates tracked since 2022).

About Shannon Blair Lcsw NPPES

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

SHANNON BLAIR LCSW (NPI 1649904640) is an individual clinical provider in Salem, Virginia, licensed in Virginia (0904017399) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Salem, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649904640
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON BLAIRCredential: LCSW
Location Address110 E MAIN STSalem, VA 24153-3805
Mailing Address212 Academy St Apt 2Salem, VA 24153-3769 · (540) 404-1220 · Fax (540) 861-3738
Fax(540) 861-3738
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 14, 2022
Last NPPES UpdateMay 6, 20264 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1649904640 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 · 0904017399
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.
110 E MAIN ST, Salem, VA 24153

Secondary Practice Location 1

Location 1212 Academy St Apt 2Salem, VA 24153-3769 · Phone (540) 404-1220

Other Identifiers 1

Medicaid3001765094VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Blair Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012486350
PECOS Enrollment IDI20260515003381
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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.

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 Blair's NPI number?

The NPI number for Shannon Blair is 1649904640. It was assigned to this individual provider in the NPPES registry on July 14, 2022.

Where is Shannon Blair located?

Shannon Blair practices at 110 E Main St, Salem, VA 24153. The listed phone number is (540) 404-1220.

What is Shannon Blair's specialty?

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

Is Shannon Blair enrolled in Medicare?

Yes. Shannon Blair is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Blair was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.