ISMELY SHANNON LCSW
NPI 1154640381
Social Worker - Clinical in Bradenton, FL

Q: What is Ismely Shannon's NPI number?

The NPI number for Ismely Shannon is 1154640381. It was assigned to this individual provider in the NPPES registry on May 27, 2010.

Q: What is Ismely Shannon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ismely Shannon was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 27, 2010PECOS Enrolled

379 6TH AVE W, BRADENTON, FL 34205(941) 782-4100(941) 782-4101 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ismely Shannon Lcsw NPPES

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

ISMELY SHANNON LCSW (NPI 1154640381) is an individual clinical provider in Bradenton, Florida, licensed in Florida (SW12247) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154640381

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameISMELY SHANNONCredential: LCSW

Location Address379 6TH AVE WBradenton, FL 34205-8820

Mailing AddressPo Box 9478Bradenton, FL 34206-9478 · (941) 782-4299 · Fax (941) 782-4301

Phone(941) 782-4100

Fax(941) 782-4101

Sole ProprietorNo

Enumeration DateMay 27, 2010

Last NPPES UpdateOctober 17, 2014

✔ NPI 1154640381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW12247

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

379 6TH AVE W, Bradenton, FL 34205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SARRY LYNN THOMAS BS

Case Manager/Care Coordinator