1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Social Worker
  6. NPI Profile

SHANNON MARIE TAYLOR LCSW
NPI 1962128363
Social Worker in Erie, PA

Active since October 17, 2022PECOS Enrolled
410 CRANBERRY ST STE 220, ERIE, PA 16507(814) 580-8657 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 27, 2025, Oct 17, 2022 (2 updates tracked since 2022).

About Shannon Marie Taylor Lcsw NPPES

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

SHANNON MARIE TAYLOR LCSW (NPI 1962128363) is an individual social worker in Erie, Pennsylvania, licensed in Pennsylvania (CW025983) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Erie, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962128363
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON MARIE TAYLORCredential: LCSW
Location Address410 CRANBERRY ST STE 220Erie, PA 16507-1090
Mailing Address956 W 38th StErie, PA 16508-2531
Phone(814) 580-8657
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1962128363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in PA · CW025983
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
410 CRANBERRY ST STE 220, Erie, PA 16507
Open in Google Maps ↗

Secondary Practice Location 1

Location 1956 W 38th StErie, PA 16508-2531 · Phone (814) 580-8657

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Marie Taylor Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002372737
PECOS Enrollment IDI20260731004505
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.

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.

STILL WAVE THERAPY LLC
Social Worker (Clinical)
410 CRANBERRY ST STE 220
ERIE, PA 16507
Erie County (814) 315-0047
KATIE ELIZABETH WOOD LCSW
Social Worker (Clinical)
410 CRANBERRY ST STE 220
ERIE, PA 16507
Erie County (814) 315-0047

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 Taylor's NPI number?

The NPI number for Shannon Taylor is 1962128363. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Shannon Taylor located?

Shannon Taylor practices at 410 Cranberry St Ste 220, Erie, PA 16507. The listed phone number is (814) 580-8657.

What is Shannon Taylor's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shannon Taylor enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Taylor was last updated on May 27, 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.