Shannon Threadgill, LCSW Valid NPI

Individual provider · Clinical Social Worker · Peoria, AZ

NPI

1588845531

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

11688 (AZ)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-11-19

Last updated

2025-06-08