SHANNON RAKES (LCSW) – Clinical Social Worker, NPI 1629403209

SHANNON RAKES (LCSW) is a healthcare provider. based in Victoria, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904008365 (VA). The NPI Number for SHANNON RAKES (LCSW) is 1629403209

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON RAKES (LCSW)
NPI
1629403209
Phone
(434) 696-2319
Address
PO BOX 70
Enumeration Date
13 September 2013
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
2365765724
Group Practice PAC ID
0648188755
Professional Enrollment ID
I20141216002363
Address ID
VA239740000Vi1508XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for SHANNON RAKES (LCSW)

  • PO BOX 70

    VICTORIA, VA 239740070

    Phone: (434) 696-2319

    Fax: (434) 696-2326

    Type: Mailing

  • 1685 K-V ROAD

    VICTORIA, VA 23974

    Phone: (434) 696-2319

    Fax: (434) 696-2326

    Type: Location

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: 2014-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141216002363IClinical Social WorkerVA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23974)

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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: 0648188755View full group profile
NameSpecialtyState
Family PracticeVA
Family PracticeGA
Pediatric Medicine, Emergency MedicineVA
Internal Medicine, Pediatric MedicineVA
Family PracticeVA
Nurse PractitionerVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Family PracticeVA

Reviews

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Frequently asked questions

Is there an official ID for SHANNON RAKES (LCSW) in U.S. healthcare records?
The official identifier for SHANNON RAKES (LCSW) is NPI 1629403209.
Is there an active status for SHANNON RAKES (LCSW)?
For scheduling context, SHANNON RAKES (LCSW) is shown as active in the registry.
How would a patient describe SHANNON RAKES (LCSW)'s focus?
For SHANNON RAKES (LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Virginia is SHANNON RAKES (LCSW) registered?
Use Victoria, Virginia as the headline location for SHANNON RAKES (LCSW) here.
Can I trust this NPI listing for SHANNON RAKES (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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