MRS. SHANNON DE ROQUE SSW
NPI 1548543259
Social Worker - Clinical in Houston, TX

Q: What is Shannon De Roque's NPI number?

The NPI number for Shannon De Roque is 1548543259. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Q: What is Shannon De Roque's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon De Roque was last updated on February 1, 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.

Active since September 20, 2011PECOS Enrolled

9401 SOUTHWEST FWY, HOUSTON, TX 77074(713) 970-7000 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Shannon De Roque Ssw NPPES

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

MRS. SHANNON DE ROQUE SSW (NPI 1548543259) is an individual clinical provider in Houston, Texas, licensed in Texas (105625) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Provo.

NPPES Registry Identity

NPI1548543259

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. SHANNON DE ROQUECredential: SSW

Location Address9401 SOUTHWEST FWYHouston, TX 77074-1407

Mailing Address750 N 200 W, Suite 300Provo, UT 84601-1677

Phone(713) 970-7000

Sole ProprietorNo

Enumeration DateSeptember 20, 2011

Last NPPES UpdateFebruary 1, 2024

NPPES CertifiedFebruary 1, 2024

✔ NPI 1548543259 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 TX · 105625

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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 7353963-3503U (UT)

9401 SOUTHWEST FWY, Houston, TX 77074

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Secondary Practice Location 1

Location 1750 N 200 W, Suite 300Provo, UT 84601-1677 · Phone (801) 373-4760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shannon De Roque Ssw 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 De Roque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Harris Center For Mental Health And Idd

Same address

Community/Behavioral Health

9401 SOUTHWEST FWY
Houston, TX 77074

Reassigned Medicare billing, Texas enrollment
232 clinicians in this Medicare group

NPI 1346293156 (713) 970-7000

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 77074 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 $58.24 – $176.98

Typical copayment $0.00 (range $14.56 – $44.24)

Most-billed visit code NA

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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 20

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

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