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SHANNON MARIE KLOCK LCSW
NPI 1992449649
Social Worker - Clinical in Vernon, CT

Active since April 27, 2022PECOS Enrolled
27 HARTFORD TPKE STE 207, VERNON, CT 06066(860) 416-2515 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Marie Klock Lcsw NPPES

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

SHANNON MARIE KLOCK LCSW (NPI 1992449649) is an individual clinical provider in Vernon, Connecticut, licensed in Connecticut (58.012170) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992449649
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON MARIE KLOCKCredential: LCSW
Location Address27 HARTFORD TPKE STE 207Vernon, CT 06066-5245
Mailing Address110 Collie Brook RdEast Hampton, CT 06424-1641 · (860) 416-2515
Phone(860) 416-2515
Sole ProprietorYes
Enumeration DateApril 27, 2022
NPPES CertifiedApril 27, 2022
✔ NPI 1992449649 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 CT · 58.012170
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.
27 HARTFORD TPKE STE 207, Vernon, CT 06066
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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 Klock 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 06066 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 3

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

GOLD MIND COUNSELING LLC
Clinic/Center (Adult Mental Health)
27 HARTFORD TPKE STE 207
VERNON, CT 06066
Capitol Planning Region (617) 416-8369
MR. ANDREW M TOCE LPC
Counselor (Professional)
27 HARTFORD TPKE STE 207
VERNON, CT 06066
Capitol Planning Region (860) 292-0589
DEEP BREATHS COUNSELING LLC
Counselor (Professional)
27 HARTFORD TPKE STE 207
VERNON, CT 06066
Capitol Planning Region (860) 878-7675

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 Klock's NPI number?

The NPI number for Shannon Klock is 1992449649. It was assigned to this individual provider in the NPPES registry on April 27, 2022.

Where is Shannon Klock located?

Shannon Klock practices at 27 Hartford Tpke Ste 207, Vernon, CT 06066. The listed phone number is (860) 416-2515.

What is Shannon Klock's specialty?

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

Is Shannon Klock enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shannon Klock was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.