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SHANNON BERNICE WESTPHAL MSW, LCSW
NPI 1245819200
Social Worker - Clinical in Hustisford, WI

Active since April 06, 2021Opted out of Medicare · through Dec 31, 2026
139 NORTH LAKE STREET, HUSTISFORD, WI 53034(262) 226-0391(920) 349-9031 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2023, Feb 22, 2023, Feb 2, 2023 and 2 more (5 updates tracked since 2021).

About Shannon Bernice Westphal Msw, Lcsw NPPES

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

SHANNON BERNICE WESTPHAL MSW, LCSW (NPI 1245819200) is an individual clinical provider in Hustisford, Wisconsin, licensed in Wisconsin (10144-123) and active in the NPI registry since April 2021. She has opted out of Medicare through December 31, 2026 and maintains a secondary practice location in West Bend.

NPPES Registry Identity

NPI1245819200
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON BERNICE WESTPHALCredential: MSW, LCSW
Location Address139 NORTH LAKE STREETHustisford, WI 53034-9507
Mailing AddressPo Box 131Hustisford, WI 53034-0131 · (262) 224-7721
Phone(262) 226-0391
Fax(920) 349-9031
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateNovember 16, 20235 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1245819200 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 WI · 10144-123
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 ListedSocial WorkerTaxonomy 104100000X · License 131945 (WI)
139 NORTH LAKE STREET, Hustisford, WI 53034
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Secondary Practice Location 1

Location 11622 Chestnut StWest Bend, WI 53095-3014 · Phone (262) 306-9800 · Fax (262) 306-9802

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon Bernice Westphal Msw, 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 December 31, 2024 through December 31, 2026.

Opt-Out Effective DateDecember 31, 2024
Opt-Out In Effect ThroughDecember 31, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. JORDAN MARK KLUEWER D.C.
Chiropractor
139 NORTH LAKE STREET
HUSTISFORD, WI 53034
Dodge County (920) 349-3233

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 Shannon Westphal's NPI number?

The NPI number for Shannon Westphal is 1245819200. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Shannon Westphal located?

Shannon Westphal practices at 139 North Lake Street, Hustisford, WI 53034. The listed phone number is (262) 226-0391.

What is Shannon Westphal's specialty?

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

Is Shannon Westphal enrolled in Medicare?

No. Shannon Westphal has opted out of Medicare through December 31, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Shannon Westphal accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health, Providence Health Plan and UnitedHealthcare list Shannon Westphal 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 Shannon Westphal was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.