SHANNON BIENKOWSKI
NPI 1770020109
Social Worker - Clinical in Charlotte, NC

Q: What is Shannon Bienkowski's NPI number?

The NPI number for Shannon Bienkowski is 1770020109. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is Shannon Bienkowski's specialty?

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

Active since January 24, 2017

5700 EXECUTIVE CENTER DR STE 110, CHARLOTTE, NC 28212(704) 525-3255 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Jun 23, 2017, Jan 24, 2017 (3 updates tracked since 2017).

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About Shannon Bienkowski NPPES

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

SHANNON BIENKOWSKI (NPI 1770020109) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C010742) and active in the NPI registry since January 2017. She maintains a secondary practice location in West Hartford.

NPPES Registry Identity

NPI1770020109

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSHANNON BIENKOWSKI

Location Address5700 EXECUTIVE CENTER DR STE 110Charlotte, NC 28212-8833

Mailing Address350 Pee Dee Ave, Suite 101Albemarle, NC 28001 · (704) 986-1545

Phone(704) 525-3255

Sole ProprietorYes

Enumeration DateJanuary 24, 2017

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1770020109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NC · C010742

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 009435 (CT)

5700 EXECUTIVE CENTER DR STE 110, Charlotte, NC 28212

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Secondary Practice Location 1

Location 145 S Main StWest Hartford, CT 06107-2441 · Phone (860) 869-0599

Other Providers at the Same Location NPPES 13

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

DESTANI LACOLE ROGERS LCSWA

Social Worker (Clinical)