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DENISE SHANNON LICSW
NPI 1184174898
Social Worker in Saint Paul, MN

Active since October 05, 2016PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3448(651) 254-3470 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2021, Oct 31, 2019 (2 updates tracked since 2019).

About Denise Shannon Licsw NPPES

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

DENISE SHANNON LICSW (NPI 1184174898) is an individual social worker in Saint Paul, Minnesota, licensed in Minnesota (9304) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1184174898
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameDENISE SHANNONCredential: LICSW
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Phone(651) 254-3448
Fax(651) 254-3470
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 5, 2016
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1184174898 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 MN · 9304
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.
640 JACKSON ST, Saint Paul, MN 55101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denise Shannon Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739467051
PECOS Enrollment IDI20161020001350
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

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.

WOJCIECH KRASZKIEWICZ M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
NICHOLAS CHARLES BOYSEN M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
MOLLY CUBINSKI
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
ABIGAIL ELLEN PETERSON M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
CAITLYN SARAH LAPRES CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 265-1254
DOMINIK ELIE FLEIFEL MD
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-2005
LEE RIVARD CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Ramsey County (651) 254-3456
CHRISTINE M COLBACH MD
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101
Ramsey County (651) 254-4796

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 Denise Shannon's NPI number?

The NPI number for Denise Shannon is 1184174898. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Denise Shannon located?

Denise Shannon practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3448.

What is Denise Shannon's specialty?

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

Is Denise Shannon enrolled in Medicare?

Yes. Denise Shannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Denise Shannon affiliated with any hospitals?

According to CMS data, Denise Shannon is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Denise Shannon was last updated on March 18, 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.