Shannon Gantt Shore, LCSW - Clinical Social Worker in Statesville, NC

Shannon Gantt Shore, LCSW is a Social Worker - Clinical based in Statesville, North Carolina. Shannon Gantt Shore is licensed to practice in North Carolina (license number C007665) and her current practice location is 209 Barium Springs Drive, Statesville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (704) 873-1011.

NPI number for Shannon Gantt Shore is 1386911451 and her current mailing address is 209 Barium Springs Drive, Statesville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386911451.

Contact Information

Shannon Gantt Shore, LCSW
209 Barium Springs Drive,
Statesville, NC 28677-6238
(704) 873-1011
Not Available



Healthcare Provider's Profile

Full NameShannon Gantt Shore
GenderFemale
SpecialitySocial Worker - Clinical
Location209 Barium Springs Drive, Statesville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386911451
  • Provider Enumeration Date: 11/17/2011
  • Last Update Date: 05/24/2012

Medical Identifiers

Medical identifiers for Shannon Gantt Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386911451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C007665 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Gantt Shore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Gantt Shore, LCSW
209 Barium Springs Drive,
Statesville, NC 28677-6238

Ph: (704) 873-1011
Shannon Gantt Shore, LCSW
209 Barium Springs Drive,
Statesville, NC 28677-6238

Ph: (704) 873-1011

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› Verified 5 days ago


Social Worker in Statesville, NC

Megann E Grace-sanchez, MSW, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 913 N Carolina Ave, Statesville, NC 28677
Phone: 704-871-0934    
Ms. Sue Ann Bingham Brown, MSW, LCSW, PIP
Clinical Social Worker
Medicare: May Accept Medicare Assignments
Practice Location: 276 Old Mocksville Rd Ste 100, Statesville, NC 28625
Phone: 704-317-2931    
Katherine Ashe Roethling, LCSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Fern Creek Dr, Statesville, NC 28625
Phone: 704-237-4240    
Ketwan Kareem Graham,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 474 N Center St, Statesville, NC 28677
Phone: 704-873-3491    
Mrs. Brenda K Martin, LCSW MSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 127 N Green St, Statesville, NC 28677
Phone: 704-873-7816    Fax: 704-873-7817
Maggie Rose Timmerman, LCSW-A
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 636 Signal Hill Drive Ext, Statesville, NC 28625
Phone: 704-871-2992    
Caitlin Josey Stephens, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2347 Simonton Rd, Statesville, NC 28625
Phone: 704-873-4719    

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