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SHANNON DAWN LANGLOIS-KONDRACKI LMSW, CAADC
NPI 1609527357
Social Worker - Clinical in Grand Rapids, MI

Active since January 14, 2022PECOS Enrolled
400 ANN ST NW STE 207, GRAND RAPIDS, MI 49504(616) 965-1229 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Jan 14, 2022 (2 updates tracked since 2022).

About Shannon Dawn Langlois-kondracki Lmsw, Caadc NPPES

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

SHANNON DAWN LANGLOIS-KONDRACKI LMSW, CAADC (NPI 1609527357) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801121142) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609527357
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON DAWN LANGLOIS-KONDRACKICredential: LMSW, CAADC
Location Address400 ANN ST NW STE 207Grand Rapids, MI 49504-2054
Mailing Address400 Ann St Nw Ste 207Grand Rapids, MI 49504-2054 · (616) 965-1229
Phone(616) 965-1229
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 14, 2022
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1609527357 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 MI · 6801121142
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.
400 ANN ST NW STE 207, Grand Rapids, MI 49504
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Dawn Langlois-kondracki Lmsw, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224517396
PECOS Enrollment IDI20260209003458
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49504 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Langlois-kondracki's NPI number?

The NPI number for Shannon Langlois-kondracki is 1609527357. It was assigned to this individual provider in the NPPES registry on January 14, 2022.

Where is Shannon Langlois-kondracki located?

Shannon Langlois-kondracki practices at 400 Ann St NW Ste 207, Grand Rapids, MI 49504. The listed phone number is (616) 965-1229.

What is Shannon Langlois-kondracki's specialty?

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

Is Shannon Langlois-kondracki enrolled in Medicare?

Yes. Shannon Langlois-kondracki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Langlois-kondracki was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.