Shannon Lee Kossick, LCSW, LCADC is a
Social Worker - Clinical based in Carson City, Nevada. Shannon Lee Kossick is licensed to practice in Nevada (license number 11331-C) and her current practice location is
205 S Pratt Ave, Carson City, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 882-3945.
NPI number for Shannon Lee Kossick is 1619639762 and her current mailing address is 1944 Molly Dr, Carson City, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619639762.
Healthcare Provider's Profile
| Full Name | Shannon Lee Kossick |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 205 S Pratt Ave, Carson City, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619639762
- Provider Enumeration Date: 10/06/2021
- Last Update Date: 10/30/2025
Medical Identifiers
Medical identifiers for Shannon Lee Kossick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619639762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 08156-LC (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11331-C (Nevada) | 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 Lee Kossick 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 Address | Practice Location Address |
|---|
Shannon Lee Kossick, LCSW, LCADC
1944 Molly Dr,
Carson City, NV 89706-2643
Ph: (916) 751-9899 | Shannon Lee Kossick, LCSW, LCADC
205 S Pratt Ave,
Carson City, NV 89701-4730
Ph: (775) 882-3945 |
Reviews and Comments