SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) – Mental Health Counselor, NPI 1407109408

Mental Health Counselor

SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) is a healthcare provider. based in Ridgefield, Washington. specializing in Mental Health Counselor. They hold the professional credentials MSW, LCSW, MT-BC. They hold a License No. LW60887254 (WA). The NPI Number for SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) is 1407109408

Main info

Female

Sole Proprietor

15 Years Of Experience

Accepts Medicare Assignment

Name

SHANNON MARIE KROENKE (MSW, LCSW, MT-BC)

NPI

1407109408

Phone

(360) 524-2126

Address

703 N 18TH PL

Enumeration Date

16 October 2012

Last Update Date

14 May 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2064535707

Graduation Year

2011 (15 years ago)

PAC ID

7517275415

Group Practice PAC ID

4981872561

Professional Enrollment ID

I20200326001393

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience60

Completeness75

Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON MARIE KROENKE (MSW, LCSW, MT-BC)

703 N 18TH PL
RIDGEFIELD, WA 986427132
Phone: (360) 524-2126
Type: Mailing
101 E 8TH ST STE 110
VANCOUVER, WA 986603294
Phone: (360) 524-2126
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 98642)

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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: 4981872561View full group profile

Name	Specialty	State
CARMEN C BERZINSKI (LICSW)	Clinical Social Worker	MN
MS. NICHOLE L JARDINE (LCSW)	Clinical Social Worker	UT
GWENDOLYN SILVER (LICSW)	Clinical Social Worker	WA
Unknown Individual	-	WA
LYNN HACKSTAFF (LICSW)	-	CA
DEBRA RICE	Nurse Practitioner	WA
MATTHEW W CRONIN (MA, LMHC, PCA)	Mental Health Counselor	WA
SHANNON MICHELLE EATON (MSN, FPMHNP, PMHNP)	Nurse Practitioner	OR
DR. MORGAN RAE NEGAARD (DNP, APRN, PMHNP-BC)	-	WA
CINDY L. GILBERT (LICSW)	-	WA

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Frequently asked questions

What is the standard ID for SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) in the U.S.?

In the U.S., SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) is identified by NPI 1407109408.

Is SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) currently accepting referrals based on NPI status?

Registry metadata lists SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) as active.

What does the directory say SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) does?

Insurance directories may phrase it differently, but here SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.

What city is tied to SHANNON MARIE KROENKE (MSW, LCSW, MT-BC)?

The directory associates SHANNON MARIE KROENKE (MSW, LCSW, MT-BC) with Ridgefield, Washington. Check all listed addresses for suites or satellite offices.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.