KATHLEEN MARIE SHANNON LISW
NPI 1225137219
Social Worker in Boardman, OH

Q: 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.

Q: What is Kathleen Shannon's specialty?

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

Q: 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 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.

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment

930 TRAILWOOD DR, BOARDMAN, OH 44512(513) 834-7063(513) 873-1567 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 3, 2020, Mar 15, 2018 (2 updates tracked since 2018).

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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 and is a graduate of Other (1983).

NPPES Registry Identity

NPI1225137219

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKATHLEEN MARIE SHANNONCredential: LISW

Location Address930 TRAILWOOD DRBoardman, OH 44512-5007

Mailing Address615 Elsinore Pl Ste 200Cincinnati, OH 45202-1459 · (513) 834-7063 · Fax (513) 873-1567

Phone(513) 834-7063

Fax(513) 873-1567

Sole ProprietorYes

Medical School CMSOtherGraduated 1983

Enumeration DateSeptember 22, 2006

Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2020

✔ NPI 1225137219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in OH · I.0003968-SUPV✔ Licensed in OH · I0003968

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.

930 TRAILWOOD DR, Boardman, OH 44512

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

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

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.

PECOS PAC ID9234278375

PECOS Enrollment IDI20091202000260

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.

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.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

43 services12 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

42 services14 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services16 patients

Other Providers at the Same Location NPPES 14

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

JOHN SAFAR CDCA

Counselor (Addiction (Substance Use Disorder))