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SHANNON THOMAS LCSW
NPI 1124262373
Social Worker - Clinical in Southlake, TX

Active since April 30, 2009Opted out of Medicare · through Dec 29, 2027
1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(817) 897-8882(817) 953-8900 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Thomas Lcsw NPPES

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

SHANNON THOMAS LCSW (NPI 1124262373) is an individual clinical provider in Southlake, Texas, licensed in Texas (50325) and active in the NPI registry since April 2009. She has opted out of Medicare through December 29, 2027.

NPPES Registry Identity

NPI1124262373
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON THOMASCredential: LCSW
Location Address1560 E SOUTHLAKE BLVD STE 100Southlake, TX 76092-6462
Mailing Address1560 E Southlake Blvd Ste 100Southlake, TX 76092-6462 · (817) 897-8882 · Fax (817) 953-8900
Phone(817) 897-8882
Fax(817) 953-8900
Sole ProprietorNo
Enumeration DateApril 30, 2009
Last NPPES UpdateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1124262373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 50325
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1560 E SOUTHLAKE BLVD STE 100, Southlake, TX 76092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon Thomas Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2023 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2023
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

MARISA ELENA ODHIAMBO
Speech-Language Pathologist
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (682) 800-2228
KNOW YOUR WORTH COUNSELING AND WELLNESS
Counselor (Professional)
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 668-0513
LAMB COUNSELING, LLC
Counselor (Mental Health)
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 674-7375
MRS. SUSAN MARTINEZ LMFT
Marriage & Family Therapist
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 823-7311
PEDIATRIC SPEECH STARS, PLLC
Speech-Language Pathologist
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (682) 800-2228
MARCIA A CHURCH M.A., CCC-SLP
Speech-Language Pathologist
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (682) 800-2228
CATHERINE DEANN LAMB
Counselor (Mental Health)
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 674-7375
ELISABETH.NJO PSYCHIATRY SERVICES, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1560 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 849-4462

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 Thomas's NPI number?

The NPI number for Shannon Thomas is 1124262373. It was assigned to this individual provider in the NPPES registry on April 30, 2009.

Where is Shannon Thomas located?

Shannon Thomas practices at 1560 E Southlake Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 897-8882.

What is Shannon Thomas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shannon Thomas enrolled in Medicare?

No. Shannon Thomas has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Thomas was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.