SHANNON CHRISTINE NELSON LSW
NPI 1629102082
Social Worker - Clinical in Park Ridge, IL

Q: What is Shannon Nelson's NPI number?

The NPI number for Shannon Nelson is 1629102082. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Shannon Nelson'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 Nelson was last updated on February 11, 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.

Active since March 15, 2007PECOS Enrolled

1775 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-5824 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shannon Christine Nelson Lsw NPPES

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

SHANNON CHRISTINE NELSON LSW (NPI 1629102082) is an individual clinical provider in Park Ridge, Illinois and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629102082

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANNON CHRISTINE NELSONCredential: LSW

Location Address1775 DEMPSTER STPark Ridge, IL 60068-1143

Mailing Address1521 W Foster Ave, 433Chicago, IL 60640-2147 · (847) 723-5824

Phone(847) 723-5824

Sole ProprietorYes

Enumeration DateMarch 15, 2007

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1629102082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

1775 DEMPSTER ST, Park Ridge, IL 60068

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Christine Nelson Lsw 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 Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

1,784 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

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 60068 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 $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

MS. STACEY K VILIONE PA-C

Physician Assistant (Surgical)