SHANNON RENE VEGA LICSW
NPI 1952672792
Social Worker - Clinical in Olympia, WA

Active since January 25, 2012PECOS Enrolled
1011 10TH AVE SE, OLYMPIA, WA 98501(360) 878-8248 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2025, May 30, 2019 (2 updates tracked since 2019).

About Shannon Rene Vega Licsw NPPES

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

SHANNON RENE VEGA LICSW (NPI 1952672792) is an individual clinical provider in Olympia, Washington and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sparks, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1952672792
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON RENE VEGACredential: LICSW
Location Address1011 10TH AVE SEOlympia, WA 98501-1566
Mailing Address2209 Cooks Hill RdCentralia, WA 98531-9076 · (775) 685-9913
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 25, 2012
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1952672792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1011 10TH AVE SE, Olympia, WA 98501

Secondary Practice Location 1

Location 14606 N Cactus Hills CtSparks, NV 89436-2632 · Phone (866) 622-4837 · Fax (775) 622-4837

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Rene Vega Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426402306
PECOS Enrollment IDI20230926003012
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 Vega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
3203 WILTON LN E
Fife, WA 98424
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group

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 98501 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 20

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

Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Social Worker
1011 10TH AVE SE
OLYMPIA, WA 98501
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Marriage & Family Therapist
1011 10TH AVE SE
OLYMPIA, WA 98501
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501
Counselor
1011 10TH AVE SE
OLYMPIA, WA 98501

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 Vega's NPI number?

The NPI number for Shannon Vega is 1952672792. It was assigned to this individual provider in the NPPES registry on January 25, 2012.

Where is Shannon Vega located?

Shannon Vega practices at 1011 10th Ave SE, Olympia, WA 98501. The listed phone number is (360) 878-8248.

What is Shannon Vega's specialty?

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

Is Shannon Vega enrolled in Medicare?

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

Which organization bills Medicare for Shannon Vega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Vega reassigns Medicare benefits to Wapato Creek Health And Wellness, Inc. (Fife, WA). 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 Vega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Vega accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Shannon Vega as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Vega was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.