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SHANNON SMITH LMSW
NPI 1255102455
Social Worker in Dayville, CT

Active since January 16, 2024PECOS Enrolled
1007 N MAIN ST, DAYVILLE, CT 06241(860) 774-2020(860) 774-0826 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shannon Smith Lmsw NPPES

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

SHANNON SMITH LMSW (NPI 1255102455) is an individual social worker in Dayville, Connecticut, licensed in Connecticut (4324) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255102455
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON SMITHCredential: LMSW
Location Address1007 N MAIN STDayville, CT 06241-2170
Mailing Address1007 N Main StDayville, CT 06241-2170 · (860) 774-2020 · Fax (860) 774-0826
Phone(860) 774-2020
Fax(860) 774-0826
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1255102455 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 CT · 4324
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.
1007 N MAIN ST, Dayville, CT 06241
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Smith Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254813231
PECOS Enrollment IDI20260307000447
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Smith reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The William W Backus Hospital
23 mi
General Acute Care Hospital
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
NPI 1467517235 (860) 889-8331
Windham Community Memorial Hospital, Inc.
47 mi
General Acute Care Hospital
112 MANSFIELD AVE
Willimantic, CT 06226
  • Reassigned Medicare billing, Connecticut enrollment
  • 302 clinicians in this Medicare group
NPI 1023191467 (860) 456-6752

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARA KORNFELD LMSW
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
MALLORY OZYCZ
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
BRYAN KEITH SALAI LCSW
Social Worker (Clinical)
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
JAVIER SANTANA LMSW
Social Worker
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
JOSHUA A LONGIARU
Technician, Health Information
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 336-9239
UNITED SERVICES INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020
UNITED SERVICES
Health Maintenance Organization
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 456-2261
SHELBY CHAMPAGNE MSW INTERN
Social Worker (Clinical)
1007 N MAIN ST
DAYVILLE, CT 06241
Northeastern Connecticut Planning Region (860) 774-2020

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 Smith's NPI number?

The NPI number for Shannon Smith is 1255102455. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Shannon Smith located?

Shannon Smith practices at 1007 N Main St, Dayville, CT 06241. The listed phone number is (860) 774-2020.

What is Shannon Smith's specialty?

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

Is Shannon Smith enrolled in Medicare?

Yes. Shannon Smith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Smith reassigns Medicare benefits to 2 organizations: The William W Backus Hospital (Norwich, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). 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 Shannon Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Smith was last updated on January 16, 2024. 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.