Shannon W Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5432 Issued in TN

Practice address

519 W. Lamar Alexander Parkway
Maryville, TN 37801-4701

Phone

(865) 309-5427

Fax

(866) 318-9025

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Hitchcock Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychotherapy and Forensic Services

  • Mental Health Counselor
  • Maryville, TN
  • NPI 1306315734
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1033302674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5568",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378025568",
            "telephone_number": "865-309-5427",
            "fax_number": "866-318-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W. LAMAR ALEXANDER PARKWAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014701",
            "telephone_number": "865-309-5427",
            "fax_number": "866-318-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANNON",
        "middle_name": "W",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009134",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HITCHCOCK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leslie Dean Brown, APRN
• Megan Brown
• Paulette Marie Brown, COTA
• Ray Eugene Brown, D.PH.
• Rhonda L Brown, RN
• Andrew Brownlie, PHARMD
• Morgan Broyles, NP
• Cassandra Bruno, OD
• Holly Bruns, LMSW
• Ashlynn Brutosky, RN

• Clinical Social Worker in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.