DR. SHANNON MANDLE KETTNER PHD, LSCSW
NPI 1609933449
Social Worker - Clinical in Colorado Springs, CO

Active since January 02, 2007
3141 CENTENNIAL BLVD, COLORADO SPRINGS, CO 80907(719) 327-5660 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shannon Mandle Kettner Phd, Lscsw NPPES

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

DR. SHANNON MANDLE KETTNER PHD, LSCSW (NPI 1609933449) is an individual clinical provider in Colorado Springs, Colorado, licensed in Kansas (1075) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1609933449
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. SHANNON MANDLE KETTNERCredential: PHD, LSCSW
Location Address3141 CENTENNIAL BLVDColorado Springs, CO 80907-4094
Mailing Address3141 Centennial BlvdColorado Springs, CO 80907-4094 · (719) 327-5660
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateNovember 17, 2015
NPI 1609933449 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 KS · 1075
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.
3141 CENTENNIAL BLVD, Colorado Springs, CO 80907

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.

Clinical Exercise Physiologist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Counselor (Professional)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Physical Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3141 CENTENNIAL BLVD, COLORADO SPRINGS VA
COLORADO SPRINGS, CO 80907
Occupational Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Social Worker (Clinical)
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
Physical Therapist
3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907

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 Kettner's NPI number?

The NPI number for Shannon Kettner is 1609933449. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Shannon Kettner located?

Shannon Kettner practices at 3141 Centennial Blvd, Colorado Springs, CO 80907. The listed phone number is (719) 327-5660.

What is Shannon Kettner'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 Kettner was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.