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SHANNON RYAN NOTTINGHAM LCSW
NPI 1417090168
Social Worker - Clinical in Morgantown, KY

Active since February 14, 2007PECOS Enrolled
1118 S MAIN ST STE 2, MORGANTOWN, KY 42261(270) 288-5036(270) 288-5082 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 18, 2022, Jul 28, 2021, Jul 21, 2020 and 1 more (4 updates tracked since 2019).

About Shannon Ryan Nottingham Lcsw NPPES

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

SHANNON RYAN NOTTINGHAM LCSW (NPI 1417090168) is an individual clinical provider in Morgantown, Kentucky, licensed in Kentucky (255867) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417090168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON RYAN NOTTINGHAMCredential: LCSW
Location Address1118 S MAIN ST STE 2Morgantown, KY 42261-9409
Mailing Address1118 S Main St Ste 2Morgantown, KY 42261-9409 · (270) 288-5036 · Fax (270) 288-5082
Phone(270) 288-5036
Fax(270) 288-5082
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateOctober 14, 20244 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1417090168 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 KY · 255867
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.
1118 S MAIN ST STE 2, Morgantown, KY 42261
Open in Google Maps ↗

Other Identifiers 1

Medicaid30605018KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Ryan Nottingham Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Shannon Nottingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightview, LLC
204 mi
Addiction Medicine
446 MORGAN ST
Cincinnati, OH 45206
  • Reassigned Medicare billing, Kentucky enrollment
  • 109 clinicians in this Medicare group
NPI 1659769446 (513) 834-7063

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42261 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

LIMITLESS MINDS LLC.
Social Worker (Clinical)
1118 S MAIN ST STE 2
MORGANTOWN, KY 42261
Butler County (270) 288-5036

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 Nottingham's NPI number?

The NPI number for Shannon Nottingham is 1417090168. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Shannon Nottingham located?

Shannon Nottingham practices at 1118 S Main St Ste 2, Morgantown, KY 42261. The listed phone number is (270) 288-5036.

What is Shannon Nottingham's specialty?

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

Is Shannon Nottingham enrolled in Medicare?

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

Which organization bills Medicare for Shannon Nottingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Nottingham reassigns Medicare benefits to Brightview, LLC (Cincinnati, OH). The 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 Nottingham'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 Nottingham was last updated on October 14, 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.