KATHLEEN MARIE SHANNON LISW
NPI 1225137219
Social Worker in Boardman, OH
About Kathleen Marie Shannon Lisw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MARIE SHANNON LISW (NPI 1225137219) is an individual social worker in Boardman, Ohio, licensed in Ohio (I.0003968-SUPV) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Warren, and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Marie Shannon Lisw 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kathleen Shannon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Youngstown, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 37 clinicians in this Medicare group
Warren, OH 44481
- Reassigned Medicare billing, Ohio enrollment
- 41 clinicians in this Medicare group
Lisbon, OH 44432
- Reassigned Medicare billing, Ohio enrollment
- 32 clinicians in this Medicare group
East Liverpool, OH 43920
- Reassigned Medicare billing, Ohio enrollment
- 25 clinicians in this Medicare group
Kent, OH 44240
- Reassigned Medicare billing, Ohio enrollment
- 187 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kathleen Shannon's NPI number?
The NPI number for Kathleen Shannon is 1225137219. It was assigned to this individual provider in the NPPES registry on September 22, 2006.
Where is Kathleen Shannon located?
Kathleen Shannon practices at 930 Trailwood Dr, Boardman, OH 44512. The listed phone number is (513) 834-7063.
What is Kathleen Shannon's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Kathleen Shannon enrolled in Medicare?
Yes. Kathleen 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.
Which organizations bill Medicare for Kathleen Shannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Shannon reassigns Medicare benefits to 5 organizations: Rajendra P Koirala, M.D., LLC (Youngstown, OH), Family & Community Services Inc (Warren, OH), Columbiana County Mental Health Clinic (Lisbon, OH), Aspire Mental Health LLC (East Liverpool, OH) and Coleman Professional Services, Inc. (Kent, OH). Each 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 Kathleen Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Shannon accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Kathleen Shannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kathleen Shannon was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kathleen Marie Shannon, LISW · NPI 1225137219
Social Worker provider in Boardman, Ohio. Individual provider, active in the CMS NPPES registry since September 22, 2006.
## Identity
- **NPI:** 1225137219 (Entity type: Individual)
- **Enumerated:** September 22, 2006
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** I.0003968-SUPV (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 930 TRAILWOOD DR, Boardman, OH 44512-5007
- **Phone:** (513) 834-7063 · **Fax:** (513) 873-1567
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Rajendra P Koirala, M.D., LLC (NPI 1760977177, Youngstown, OH); Family & Community Services Inc (NPI 1750607057, Warren, OH); Columbiana County Mental Health Clinic (NPI 1508827932, Lisbon, OH); Aspire Mental Health LLC (NPI 1235097676, East Liverpool, OH); Coleman Professional Services, Inc. (NPI 1982637633, Kent, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** September 3, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1225137219) · Data from the CMS NPPES public registry.