SHANNON MARIE VITRO
NPI 1760799902
Social Worker - Clinical in Roseville, CA

Q: What is Shannon Vitro's NPI number?

The NPI number for Shannon Vitro is 1760799902. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Q: What is Shannon Vitro's specialty?

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

Q: Is Shannon Vitro enrolled in Medicare?

No. Shannon Vitro has opted out of Medicare through February 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shannon Vitro was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 09, 2010Opted out of Medicare · through Feb 18, 2027

1430 BLUE OAKS BLVD STE 120, ROSEVILLE, CA 95747(916) 251-9674 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2024, Feb 27, 2017 (2 updates tracked since 2017).

On this page

About Shannon Marie Vitro NPPES

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

SHANNON MARIE VITRO (NPI 1760799902) is an individual clinical provider in Roseville, California, licensed in California (74811) and active in the NPI registry since September 2010. She has opted out of Medicare through February 18, 2027.

NPPES Registry Identity

NPI1760799902

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANNON MARIE VITRO

Location Address1430 BLUE OAKS BLVD STE 120Roseville, CA 95747-5156

Mailing Address4010 Foothills Blvd Ste 103, Pmb 134Roseville, CA 95747-7241 · (916) 251-9674

Phone(916) 251-9674

Sole ProprietorYes

Enumeration DateSeptember 9, 2010

Last NPPES UpdateOctober 10, 20242 updates tracked since enumeration

NPPES CertifiedOctober 10, 2024

✔ NPI 1760799902 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 CA · 74811

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.

1430 BLUE OAKS BLVD STE 120, Roseville, CA 95747

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shannon Marie Vitro has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2023 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2023

Opt-Out In Effect ThroughFebruary 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95747 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 $60.44 – $180.85

Typical copayment $0.00 (range $15.11 – $45.21)

Most-billed visit code NA

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $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 16

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

MRS. KAITLYN W BROWN MSW

Social Worker (Clinical)