Shannon Leighanne Cooper, LCSW
Social Worker, Clinical in Mount Vernon, ME. Individual provider (NPI-1).
NPI number1710697438
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1710697438
- Entity type
- Individual (NPI-1)
- Name
- Shannon Leighanne Cooper
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2022
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LC25315 | ME | Yes |
Other names
- Shannon Leighanne Poling (Other Name)
Practice location
29 Breezy AcresMount Vernon, ME 04352-3534
Phone 207-994-7146
Mailing address
29 Breezy AcresMount Vernon, ME 04352-3534
Phone 207-557-1033
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