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

Q: 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.

Q: What is Shannon Vega's specialty?

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

Q: 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 14 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.

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: August 09, 2026.

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

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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

Phone(360) 878-8248

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 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.

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.

SHELBY ANN WISE

Counselor