Shannon Mannix Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHANNON MANNIX SERVICES INC

Doing business as

Shannon Mannix Service Inc

Practice address

15915 S Crystal Creek Dr Ste E
Homer Glen, IL 60491-9381

Phone

(708) 557-5078

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannon M Mannix, MSW, LCSW, TYPE 73NPI 1760803134

Title

Owner Licenced Social Worker

Phone

(708) 557-5078

Specialties & licenses 1

Addresses

Other names 1

• Shannon Mannix Service Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Mannix, LCSW

  • Clinical Social Worker
  • Mokena, IL
  • NPI 1760803134
  NPD Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1063029874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17626 S GILBERT DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604411100",
            "telephone_number": "708-557-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15915 S CRYSTAL CREEK DR STE E",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919381",
            "telephone_number": "708-557-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON MANNIX SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MANNIX",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER LICENCED SOCIAL WORKER",
        "authorized_official_telephone_number": "708-557-5078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW, TYPE 73"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Mannix Service Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Sebek, APN
• Meghan Daw Sedivy, RD LDN
• Mandy Ann Semenik, MS, L.C.P.C.
• Angela Senow
• Joanne Ruth Serio, DT
• Erin Shea, MA, LPC
• Sheryl Leipold D.D.S. P.C.
• Lily Shinn, MS, MSW, LCSW
• Renee Ann Shutay, M.A., L.C.P.C.
• Krzysztof B Siemionow, M.D.

• Clinical Social Worker in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.