Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. SHANNON MARIE WHITE LCSW
NPI 1770918716
Social Worker - Clinical in West Hartford, CT

Active since September 10, 2013PECOS Enrolled
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110(585) 553-6370 Get Directions Write a Review

NPPES record last updated: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2026, Sep 12, 2024 (2 updates tracked since 2024).

About Mrs. Shannon Marie White Lcsw NPPES

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

MRS. SHANNON MARIE WHITE LCSW (NPI 1770918716) is an individual clinical provider in West Hartford, Connecticut, licensed in New York (086570) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770918716
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. SHANNON MARIE WHITECredential: LCSW
Location Address430 NEW PARK AVE STE 102West Hartford, CT 06110-1142
Mailing Address5130 E Main Street Rd, Suite 2Batavia, NY 14020-3444 · (585) 344-1421 · Fax (585) 344-3047
Sole ProprietorNo
Enumeration DateSeptember 10, 2013
Last NPPES UpdateJuly 25, 20262 updates tracked since enumeration
NPPES CertifiedJuly 25, 2026
NPI 1770918716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NY · 086570 Licensed in CT · 13934
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.

430 NEW PARK AVE STE 102, West Hartford, CT 06110

Other Names 1

Former Name (1)Shannon Marie Koch

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 (PECOS)

Mrs. Shannon Marie White 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06110 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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 15

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

Counselor (Mental Health)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Registered Nurse
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Professional)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Professional)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Social Worker (Clinical)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Marriage & Family Therapist
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Nurse Practitioner (Psychiatric/Mental Health)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110
Counselor (Mental Health)
430 NEW PARK AVE STE 102
WEST HARTFORD, CT 06110

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 White's NPI number?

The NPI number for Shannon White is 1770918716. It was assigned to this individual provider in the NPPES registry on September 10, 2013. The provider is also known as Shannon Marie Koch.

Where is Shannon White located?

Shannon White practices at 430 New Park Ave Ste 102, West Hartford, CT 06110. The listed phone number is (585) 553-6370.

What is Shannon White's specialty?

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

Is Shannon White enrolled in Medicare?

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

What insurance does Shannon White accept?

Health plans from Providence Health Plan list Shannon White 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 White was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.