SHANNON LEIGH PORTER
NPI 1669365078
Social Worker - Clinical in Saint Clair, MI

Active since June 03, 2025PECOS EnrolledAccepts Medicare Assignment
1322 RIVER RD, SAINT CLAIR, MI 48079(269) 420-4959 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Jun 3, 2025 (2 updates tracked since 2025).

About Shannon Leigh Porter NPPES

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

SHANNON LEIGH PORTER (NPI 1669365078) is an individual clinical provider in Saint Clair, Michigan, licensed in Michigan (6801078877) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1669365078
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON LEIGH PORTER
Location Address1322 RIVER RDSaint Clair, MI 48079-2803
Mailing Address812 Brown StSaint Clair, MI 48079-4893 · (269) 420-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 3, 2025
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1669365078 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 · 6801078877
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.
1322 RIVER RD, Saint Clair, MI 48079

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shannon Leigh Porter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416468293
PECOS Enrollment IDI20250618001494
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 48079 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.

Other Providers at the Same Location NPPES 4

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

Counselor (Professional)
1322 RIVER RD
SAINT CLAIR, MI 48079
Case Manager/Care Coordinator
1322 RIVER RD
SAINT CLAIR, MI 48079
Social Worker (Clinical)
1322 RIVER RD
SAINT CLAIR, MI 48079
Social Worker (Clinical)
1322 RIVER RD
SAINT CLAIR, MI 48079

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 Porter's NPI number?

The NPI number for Shannon Porter is 1669365078. It was assigned to this individual provider in the NPPES registry on June 3, 2025.

Where is Shannon Porter located?

Shannon Porter practices at 1322 River Rd, Saint Clair, MI 48079. The listed phone number is (269) 420-4959.

What is Shannon Porter's specialty?

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

Is Shannon Porter enrolled in Medicare?

Yes. Shannon Porter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Porter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Shannon Porter 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 Porter was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.