SHANNON ELLIS
NPI 1417604331
Social Worker - Clinical in Columbus, MS
About Shannon Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON ELLIS (NPI 1417604331) is an individual clinical provider in Columbus, Mississippi, licensed in Mississippi (C11725) and active in the NPI registry since March 2022.
NPPES Registry Identity
Specialties & Licenses
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 Ellis's NPI number?
The NPI number for Shannon Ellis is 1417604331. It was assigned to this individual provider in the NPPES registry on March 10, 2022.
Where is Shannon Ellis located?
Shannon Ellis practices at 75 Wood Glen Ln, Columbus, MS 39705. The listed phone number is (662) 574-2150.
What is Shannon Ellis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Shannon Ellis was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.