SHANNON MICHELLE KELLY MSW
NPI 1043957095
Social Worker in Beaver Dam, WI

Q: What is Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1043957095. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Q: What is Shannon Kelly'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 Shannon Kelly was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 19, 2022

650 S CENTER ST, BEAVER DAM, WI 53916(920) 212-7820(608) 720-1719 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Shannon Michelle Kelly Msw NPPES

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

SHANNON MICHELLE KELLY MSW (NPI 1043957095) is an individual social worker in Beaver Dam, Wisconsin, licensed in Wisconsin (MSW) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1043957095

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHANNON MICHELLE KELLYCredential: MSW

Location Address650 S CENTER STBeaver Dam, WI 53916-2804

Mailing Address650 S Center StBeaver Dam, WI 53916-2804 · (920) 212-7820

Phone(920) 212-7820

Fax(608) 720-1719

Sole ProprietorNo

Enumeration DateMay 19, 2022

NPPES CertifiedMay 12, 2022

✔ NPI 1043957095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WI · MSW

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.

650 S CENTER ST, Beaver Dam, WI 53916

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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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1043957095. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Shannon Kelly located?

Shannon Kelly practices at 650 S Center St, Beaver Dam, WI 53916. The listed phone number is (920) 212-7820.

What is Shannon Kelly'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 Shannon Kelly was last updated on May 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.