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SHANNON COOPER LMSW
NPI 1104499078
Social Worker in Rosedale, MD

Active since July 20, 2021PECOS Enrolled
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237(410) 780-5203 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Cooper Lmsw NPPES

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

SHANNON COOPER LMSW (NPI 1104499078) is an individual social worker in Rosedale, Maryland, licensed in Maryland (22721) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104499078
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON COOPERCredential: LMSW
Location Address9627 PHILADELPHIA RD STE 160Rosedale, MD 21237-4157
Mailing Address9627 Philadelphia Rd Ste 160Rosedale, MD 21237-4157 · (410) 780-5203
Phone(410) 780-5203
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1104499078 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 MD · 22721
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.
9627 PHILADELPHIA RD STE 160, Rosedale, MD 21237
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Cooper Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032608690
PECOS Enrollment IDI20251103000844
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Behavioral Health, LLC
Same address
Community/Behavioral Health
9627 PHILADELPHIA RD STE 160
Rosedale, MD 21237
  • Reassigned Medicare billing, Maryland enrollment
  • 122 clinicians in this Medicare group
NPI 1053733378 (410) 780-5203

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LONNETTE MCPHERSON
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (443) 469-5138
ADRIAN LEE STACKHOUSE
Social Worker (Clinical)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AMBER DUKES LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
AYREL J FUNDERBURK
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
ABBIGALE ELIZABETH BOEHL
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
CAROLINE ELIZABETH MOLLENAUER
Social Worker
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
GRACE OMENYI LGPC
Counselor (Mental Health)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203
IESHA FELTON WATERS LCPC
Counselor (Professional)
9627 PHILADELPHIA RD STE 160
ROSEDALE, MD 21237
Baltimore County (410) 780-5203

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 Cooper's NPI number?

The NPI number for Shannon Cooper is 1104499078. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Shannon Cooper located?

Shannon Cooper practices at 9627 Philadelphia Rd Ste 160, Rosedale, MD 21237. The listed phone number is (410) 780-5203.

What is Shannon Cooper's specialty?

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

Is Shannon Cooper enrolled in Medicare?

Yes. Shannon Cooper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Cooper reassigns Medicare benefits to Thrive Behavioral Health, LLC (Rosedale, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Cooper was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.