Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Shannon White's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon White was last updated on July 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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 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: August 16, 2026.

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

On this page

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

Phone(585) 553-6370

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

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Other Names 1

Former Name (1)Shannon Marie Koch

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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.

DARBY COTTER

Marriage & Family Therapist