1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Social Worker
  6. NPI Profile

SHANNON WILLIS
NPI 1417291816
Social Worker in Louisville, KY

Active since November 26, 2012
9702 STONESTREET RD, STE. 110, LOUISVILLE, KY 40272(502) 589-8600(502) 589-8771 Get Directions Write a Review

NPPES record last updated: November 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Willis NPPES

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

SHANNON WILLIS (NPI 1417291816) is an individual social worker in Louisville, Kentucky, licensed in Kentucky (4675) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1417291816
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON WILLIS
Location Address9702 STONESTREET RD, STE. 110Louisville, KY 40272-6808
Mailing Address101 W Muhammad Ali BlvdLouisville, KY 40202-1423
Phone(502) 589-8600
Fax(502) 589-8771
Sole ProprietorNo
Enumeration DateNovember 26, 2012
✔ NPI 1417291816 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 KY · 4675
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.
9702 STONESTREET RD, Louisville, KY 40272
Open in Google Maps ↗

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.

PRADIP D PATEL MD
Pediatrics
9702 STONESTREET RD, STE 100
LOUISVILLE, KY 40272
Jefferson County (502) 588-0610
BRANDI THOMAS
Nurse Practitioner (Psychiatric/Mental Health)
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600
KELLI CARE
Social Worker (Clinical)
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600
SYDNEY MILLER LCSW
Social Worker (Clinical)
9702 STONESTREET RD
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600
NICOLE ABBOTT
Social Worker (Clinical)
9702 STONESTREET RD, #110
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600
MS. KELLEY KETTERMAN BA, MED
Counselor (Addiction (Substance Use Disorder))
9702 STONESTREET RD
LOUISVILLE, KY 40272
Jefferson County (833) 510-4357
LINDA LEAVITT
Counselor
9702 STONESTREET RD, STE. 110
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600
MRS. ALLISON LEIGH ALLEN LMFT
Marriage & Family Therapist
9702 STONESTREET RD
LOUISVILLE, KY 40272
Jefferson County (502) 589-8600

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 Willis's NPI number?

The NPI number for Shannon Willis is 1417291816. It was assigned to this individual provider in the NPPES registry on November 26, 2012.

Where is Shannon Willis located?

Shannon Willis practices at 9702 Stonestreet Rd Ste. 110, Louisville, KY 40272. The listed phone number is (502) 589-8600.

What is Shannon Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Shannon Willis was last updated on November 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.