SHANNON MARIE HEALER LCSW
NPI 1902001266
Social Worker - Clinical in Menlo Park, CA

Active since June 18, 2007Opted out of Medicare · through Oct 1, 2026
795 WILLOW RD # 180D, MENLO PARK, CA 94025(650) 269-5945 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Healer Lcsw NPPES

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

SHANNON MARIE HEALER LCSW (NPI 1902001266) is an individual clinical provider in Menlo Park, California, licensed in California (LCS 25127) and active in the NPI registry since June 2007. She has opted out of Medicare through October 1, 2026 and maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1902001266
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON MARIE HEALERCredential: LCSW
Location Address795 WILLOW RD # 180DMenlo Park, CA 94025-2539
Mailing Address266 Waugh AveSanta Cruz, CA 95065-1136 · (831) 234-7323
Sole ProprietorYes
Enumeration DateJune 18, 2007
Last NPPES UpdateNovember 21, 2024
NPPES CertifiedNovember 21, 2024
NPI 1902001266 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 CA · LCS 25127 Licensed in CA · 19188
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.
795 WILLOW RD # 180D, Menlo Park, CA 94025

Secondary Practice Location 1

Location 13333 Mission DrSanta Cruz, CA 95065-1827 · Phone (831) 234-7323

Other Identifiers 2

OtherLCS 25127CA · Bbs
Other19188CA · Asw

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 Healer Lcsw 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 October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Psychologist
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Social Worker
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD # 180D
MENLO PARK, CA 94025
Social Worker (Clinical)
795 WILLOW RD # 180D
MENLO PARK, CA 94025

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 Healer's NPI number?

The NPI number for Shannon Healer is 1902001266. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Shannon Healer located?

Shannon Healer practices at 795 Willow Rd # 180D, Menlo Park, CA 94025. The listed phone number is (650) 269-5945.

What is Shannon Healer's specialty?

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

Is Shannon Healer enrolled in Medicare?

No. Shannon Healer has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shannon Healer was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.