ERIN SHANNON LCSW
NPI 1225320823
Social Worker - Clinical in La Grange Park, IL

Active since May 14, 2011Opted out of Medicare · through Mar 22, 2028
302 N EDGEWOOD AVE, LA GRANGE PARK, IL 60526(708) 941-8254 Get Directions Write a Review

NPPES record last updated: May 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erin Shannon Lcsw NPPES

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

ERIN SHANNON LCSW (NPI 1225320823) is an individual clinical provider in La Grange Park, Illinois, licensed in Illinois (149-014487) and active in the NPI registry since May 2011. She has opted out of Medicare through March 22, 2028.

NPPES Registry Identity

NPI1225320823
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERIN SHANNONCredential: LCSW
Location Address302 N EDGEWOOD AVELa Grange Park, IL 60526-5506
Mailing Address302 N Edgewood AveLa Grange Park, IL 60526-5506 · (708) 941-8254
Sole ProprietorYes
Enumeration DateMay 14, 2011
NPI 1225320823 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 IL · 149-014487
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.
302 N EDGEWOOD AVE, La Grange Park, IL 60526

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Erin Shannon 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 March 22, 2024 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2024
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Erin Shannon's NPI number?

The NPI number for Erin Shannon is 1225320823. It was assigned to this individual provider in the NPPES registry on May 14, 2011.

Where is Erin Shannon located?

Erin Shannon practices at 302 N Edgewood Ave, La Grange Park, IL 60526. The listed phone number is (708) 941-8254.

What is Erin Shannon's specialty?

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

Is Erin Shannon enrolled in Medicare?

No. Erin Shannon has opted out of Medicare through March 22, 2028. 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 Erin Shannon was last updated on May 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.