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SANDRA SHANNON LCSW
NPI 1790473676
Social Worker - Clinical in Champaign, IL

Active since April 27, 2023PECOS EnrolledAccepts Medicare Assignment
301 N NEIL ST, CHAMPAIGN, IL 61820(217) 352-0200(217) 607-1139 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandra Shannon Lcsw NPPES

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

SANDRA SHANNON LCSW (NPI 1790473676) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149.028987) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Champaign, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790473676
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA SHANNONCredential: LCSW
Location Address301 N NEIL STChampaign, IL 61820-3163
Mailing Address2125 S Neil StChampaign, IL 61820-7266 · (217) 352-0200 · Fax (217) 607-1139
Phone(217) 352-0200
Fax(217) 607-1139
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 27, 2023
Last NPPES UpdateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1790473676 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 IL · 149.028987
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.
301 N NEIL ST, Champaign, IL 61820
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Secondary Practice Location 1

Location 12125 S Neil StChampaign, IL 61820-7266 · Phone (217) 352-0200 · Fax (217) 607-1139

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Shannon Lcsw 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 ID6608232582
PECOS Enrollment IDI20230518002614
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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Shannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keri Powell Therapy Inc
1.8 mi
Mental Health
2125 S NEIL ST
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 61 clinicians in this Medicare group
NPI 1174751663 (217) 352-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 2

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

PATRICK FROELICH
Counselor (Professional)
301 N NEIL ST
CHAMPAIGN, IL 61820
Champaign County (217) 377-2433
ALL WAYS CARING SERVICES, INC.
Nursing Care
301 N NEIL ST, SUITE 301
CHAMPAIGN, IL 61820
Champaign County (217) 398-4100

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 Sandra Shannon's NPI number?

The NPI number for Sandra Shannon is 1790473676. It was assigned to this individual provider in the NPPES registry on April 27, 2023.

Where is Sandra Shannon located?

Sandra Shannon practices at 301 N Neil St, Champaign, IL 61820. The listed phone number is (217) 352-0200.

What is Sandra Shannon's specialty?

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

Is Sandra Shannon enrolled in Medicare?

Yes. Sandra Shannon 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.

Which organization bills Medicare for Sandra Shannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Shannon reassigns Medicare benefits to Keri Powell Therapy Inc (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Shannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Shannon accept?

Health plans from Oscar Health list Sandra Shannon 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 Sandra Shannon was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.