SHANNON LYNCH (LCSW) – Clinical Social Worker, NPI 1275164683

SHANNON LYNCH (LCSW) is a healthcare provider. based in St augustine, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW16373 (FL). The NPI Number for SHANNON LYNCH (LCSW) is 1275164683

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON LYNCH (LCSW)
NPI
1275164683
Phone
(908) 256-0282
Address
14 MULBERRY ST
Enumeration Date
4 February 2020
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9548859500
Graduation Year
2008 (18 years ago)
PAC ID
6406283076
Group Practice PAC ID
7719417278
Professional Enrollment ID
I20200219002786
Address ID
FL322578975JA4243XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for SHANNON LYNCH (LCSW)

  • 14 MULBERRY ST

    ST AUGUSTINE, FL 320842867

    Phone: (908) 256-0282

    Type: Mailing

  • 1848 SE 1ST AVE # 102

    FORT LAUDERDALE, FL 333162875

    Phone: (954) 885-9500

    Type: Location

  • 14 Mulberry St

    St Augustine, FL 320842867

    Phone: (908) 256-0282

    Type: Location

  • 3324 W UNIVERSITY AVE UNIT 241

    GAINESVILLE, FL 326072540

    Phone: (352) 234-4010

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200219002786IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour1,05438$0
90791Psychiatric diagnostic evaluation2727$0
View full utilization report →

Insurance plans in this area (ZIP 32084)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719417278View full group profile
NameSpecialtyState
Clinical PsychologistFL

Reviews

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Frequently asked questions

What unique ID ties claims to SHANNON LYNCH (LCSW)?
NPI 1275164683 is assigned to SHANNON LYNCH (LCSW) under the national enumeration system.
Does this profile mean SHANNON LYNCH (LCSW) is currently active?
Yes — SHANNON LYNCH (LCSW) appears active in the national provider directory.
What does SHANNON LYNCH (LCSW) treat or focus on?
Patients typically see SHANNON LYNCH (LCSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON LYNCH (LCSW)?
The page summarizes St Augustine, Florida for SHANNON LYNCH (LCSW); expand the address list for detail.
What if St Augustine, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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