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DAVIS SHANNON MSW
NPI 1265985170
Student in an Organized Health Care Education/Training Program in Bloomington, IL

Active since July 27, 2016
702 W CHESTNUT ST, BLOOMINGTON, IL 61701(217) 649-5765 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davis Shannon Msw NPPES

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

DAVIS SHANNON MSW (NPI 1265985170) is an individual student in an organized health care education/training program in Bloomington, Illinois and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1265985170
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDAVIS SHANNONCredential: MSW
Location Address702 W CHESTNUT STBloomington, IL 61701-2814
Mailing Address702 W Chestnut StBloomington, IL 61701-2814
Phone(217) 649-5765
Sole ProprietorNo
Enumeration DateJuly 27, 2016
Last NPPES UpdateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1265985170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
702 W CHESTNUT ST, Bloomington, IL 61701
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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.

MR. BRYAN JAMES HINMAN M.A.
Counselor (Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1409
MRS. LISA DIANE NEUWEG MA, NCC
Counselor
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
SINATA BECCA JINADU
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400
MR. CHRISTOPHER G PERKINS L.C.P.C.
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
MS. CARRIE J ANDERSON MA LCPC
Counselor (Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KATIE J YOUNG MSW, LCSW
Social Worker (Clinical)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
KERRI MARSH LCPC
Counselor (Professional)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 827-6026
TAMAR GREENLY APRN
Nurse Practitioner (Psychiatric/Mental Health)
702 W CHESTNUT ST
BLOOMINGTON, IL 61701
McLean County (309) 557-1400

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 Davis Shannon's NPI number?

The NPI number for Davis Shannon is 1265985170. It was assigned to this individual provider in the NPPES registry on July 27, 2016.

Where is Davis Shannon located?

Davis Shannon practices at 702 W Chestnut St, Bloomington, IL 61701. The listed phone number is (217) 649-5765.

What is Davis Shannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Davis Shannon was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.