PHILLIP SHANNON
NPI 1043915960
Social Worker in Detroit, MI

Q: What is Phillip Shannon's NPI number?

The NPI number for Phillip Shannon is 1043915960. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Phillip Shannon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Shannon was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2023

19299 BERG RD, DETROIT, MI 48219(313) 960-6137 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Phillip Shannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP SHANNON (NPI 1043915960) is an individual social worker in Detroit, Michigan and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1043915960

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NamePHILLIP SHANNON

Location Address19299 BERG RDDetroit, MI 48219-1712

Mailing Address90 Selden StDetroit, MI 48201-2062 · (313) 960-6137

Phone(313) 960-6137

Sole ProprietorYes

Enumeration DateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1043915960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

19299 BERG RD, Detroit, MI 48219

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Shannon's NPI number?

The NPI number for Phillip Shannon is 1043915960. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Phillip Shannon located?

Phillip Shannon practices at 19299 Berg Rd, Detroit, MI 48219. The listed phone number is (313) 960-6137.

What is Phillip Shannon's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Phillip Shannon was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.