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MS. SHANNON BRUCKNER LCSW, CAADC
NPI 1497243836
Social Worker - Clinical in Athens, GA

Active since May 01, 2018PECOS Enrolled
119 SYCAMORE DR, ATHENS, GA 30606(864) 659-0543 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2022, May 1, 2018 (2 updates tracked since 2018).

About Ms. Shannon Bruckner Lcsw, Caadc NPPES

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

MS. SHANNON BRUCKNER LCSW, CAADC (NPI 1497243836) is an individual clinical provider in Athens, Georgia, licensed in Georgia (CSW006270) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497243836
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHANNON BRUCKNERCredential: LCSW, CAADC
Location Address119 SYCAMORE DRAthens, GA 30606-3462
Mailing Address119 Sycamore DrAthens, GA 30606-3462 · (864) 659-0543
Phone(864) 659-0543
Sole ProprietorYes
Enumeration DateMay 1, 2018
Last NPPES UpdateSeptember 19, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1497243836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW006270
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0263 (GA)
119 SYCAMORE DR, Athens, GA 30606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Shannon Bruckner Lcsw, Caadc 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 Bruckner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
1,257 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Georgia enrollment
  • 206 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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 30606 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 4

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

HUDSON MAY LMSW
Counselor (Addiction (Substance Use Disorder))
119 SYCAMORE DR
ATHENS, GA 30606
Clarke County (706) 850-2121
MS. JULIA KINLEY DAIL LCSW, CAADC, CCS
Social Worker (Clinical)
119 SYCAMORE DR
ATHENS, GA 30606
Clarke County (706) 850-2121
LAGOM COUNSELING SERVICES LLC
Community/Behavioral Health
119 SYCAMORE DR
ATHENS, GA 30606
Clarke County (706) 340-6944
MILLICENT SMITH LCSW, CAADC, CPS
Social Worker (Clinical)
119 SYCAMORE DR
ATHENS, GA 30606
Clarke County (706) 850-2121

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 Bruckner's NPI number?

The NPI number for Shannon Bruckner is 1497243836. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Shannon Bruckner located?

Shannon Bruckner practices at 119 Sycamore Dr, Athens, GA 30606. The listed phone number is (864) 659-0543.

What is Shannon Bruckner's specialty?

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

Is Shannon Bruckner enrolled in Medicare?

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

Which organization bills Medicare for Shannon Bruckner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Bruckner reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). 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 Bruckner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Bruckner accept?

Health plans from Alliant Health Plans, Inc. and Oscar Health list Shannon Bruckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Bruckner was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.