Provider Demographics
NPI:1053294074
Name:LLANES, SHANNON (MSW)
Entity type:Individual
Prefix:MRS
First Name:SHANNON
Middle Name:
Last Name:LLANES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10605 SHADY CIR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1236
Mailing Address - Country:US
Mailing Address - Phone:240-429-8601
Mailing Address - Fax:
Practice Address - Street 1:139 N MAIN ST STE 301
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-8808
Practice Address - Country:US
Practice Address - Phone:443-567-7037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD335161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical