SHANNON WEAVER LCSW NPI 1053993501

NPI Information

  • NPI: 1053993501
  • Provider Name: SHANNON WEAVER, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3100 PINEBROOK RD STE 1250B
    PARK CITY, UT
    ZIP 84098
  • Phone: (801) 631-7476

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NPI Details

Shannon Weaver, LCSW is a mental health counselor in Park City, UT. Shannon Weaver, LCSW NPI is 1053993501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 PINEBROOK RD STE 1250B
PARK CITY, UT
ZIP 84098-663
Phone: (801) 631-7476

The enumeration date for this NPI number is 4/24/2021 and was last updated on 4/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health5121600-3501UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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