SHANNON LEE GRAHAM MSW, LCSW
NPI 1639930589
Social Worker - Clinical in Madison, WI

Active since January 18, 2024PECOS Enrolled
2010 EASTWOOD DR STE 300, MADISON, WI 53704(608) 509-9287(608) 630-8089 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Lee Graham Msw, Lcsw NPPES

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

SHANNON LEE GRAHAM MSW, LCSW (NPI 1639930589) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (10246-123) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639930589
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON LEE GRAHAMCredential: MSW, LCSW
Location Address2010 EASTWOOD DR STE 300Madison, WI 53704-5387
Mailing Address2010 Eastwood Dr Ste 300Madison, WI 53704-5387 · (608) 509-9287 · Fax (608) 630-8089
Fax(608) 630-8089
Sole ProprietorNo
Enumeration DateJanuary 18, 2024
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1639930589 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 WI · 10246-123
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.
2010 EASTWOOD DR STE 300, Madison, WI 53704

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Lee Graham Msw, Lcsw 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 Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
2010 EASTWOOD DR STE 300
Madison, WI 53704
  • Reassigned Medicare billing, Wisconsin enrollment
  • 9 clinicians in this Medicare group

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 53704 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 8

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

Counselor (Mental Health)
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Social Worker (Clinical)
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Marriage & Family Therapist
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Counselor (Professional)
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Counselor (Professional)
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Marriage & Family Therapist
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Counselor (Mental Health)
2010 EASTWOOD DR STE 300
MADISON, WI 53704
Counselor (Professional)
2010 EASTWOOD DR STE 300
MADISON, WI 53704

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 Graham's NPI number?

The NPI number for Shannon Graham is 1639930589. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Where is Shannon Graham located?

Shannon Graham practices at 2010 Eastwood Dr Ste 300, Madison, WI 53704. The listed phone number is (608) 509-9287.

What is Shannon Graham's specialty?

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

Is Shannon Graham enrolled in Medicare?

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

Which organization bills Medicare for Shannon Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Graham reassigns Medicare benefits to Greyley Wellness LLC (Madison, WI). 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 Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Graham accept?

Health plans from Dean Health Plan, Quartz and UnitedHealthcare list Shannon Graham 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 Graham was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.