Shannon Dolan

Clinical Social Worker · Peoria, IL

Individual Active NPI

NPI number 1003556135

Practice location

7717 N Orange Prairie Rd
Peoria, IL 61615-9323
Phone
(309) 589-6800

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NPI record

NPI
1003556135
Entity type
Individual (Type 1)
Enumeration date
March 29, 2022
Last updated
March 29, 2022
Certified
March 29, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149024396 IL

Mailing address

809 Dogwood Dr
Washington, IL 61571-2336

About Shannon Dolan

Shannon Dolan is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 7717 N Orange Prairie Rd, Peoria, IL 61615-9323. The NPI number 1003556135 was assigned on March 29, 2022 and the record was last updated on March 29, 2022.

Shannon Dolan lists a license in the registry: #149024396 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Shannon Dolan?

The NPI number is 1003556135.

What is the phone number of Shannon Dolan?

The phone number listed for the practice location is (309) 589-6800.

Where is Shannon Dolan located?

7717 N Orange Prairie Rd, Peoria, IL 61615-9323.

What is the taxonomy code for Shannon Dolan?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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