Active NPIIndividual provider

Shannon L Cooper, LCSW

Social Worker, Clinical in Mount Vernon, Maine

NPI Number1710697438
Practice location
29 Breezy Acres, Mount Vernon, ME 04352-3534
Fax
—
Last updated
December 10, 2025

Shannon Leighanne Cooper is a Social Worker, Clinical based in Mount Vernon, ME. Shannon Leighanne Cooper practices in Mount Vernon, ME and has the professional credentials of LCSW. The NPI Number for Shannon Leighanne Cooper is 1710697438 and holds a License No. LC25315 (ME). The current practice location address for Shannon Leighanne Cooper is 29 Breezy Acres, Mount Vernon, ME 04352-3534 and can be reached out via phone at 207-994-7146.

Provider Profile Details

NPI Number
1710697438
Provider Name
Shannon Leighanne Cooper
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
29 Breezy Acres, Mount Vernon, ME 04352-3534
Phone Number
207-994-7146
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Mrs. Shannon Leighanne Poling, LCSW (Other Name)
Provider Enumeration Date
December 5, 2022
Last Update Date
December 10, 2025
Certification Date
December 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Breezy Acres
Mount Vernon, ME 04352-3534
State
Maine
Zip
04352-3534
Phone Number
207-994-7146
Mount Vernon, ME 04352Get directions →

Provider Business Mailing Address Details

Address
29 Breezy Acres
Mount Vernon, ME 04352-3534
City
Mount Vernon
State
ME
Zip
04352-3534
Phone Number
207-557-1033

License Information

License Number
LC25315
License State
ME
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shannon L Cooper, LCSW?

The NPI number of Shannon L Cooper, LCSW is 1710697438. It was assigned on December 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Shannon L Cooper, LCSW?

Shannon L Cooper, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in ME under license number LC25315.

Where does Shannon L Cooper, LCSW practice?

The practice location is 29 Breezy Acres, Mount Vernon, ME 04352-3534. The office can be reached at 207-994-7146 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710697438 directly on the NPPES registry website.

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