Shannon Patricia Mayer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1120 Randall CT
Geneva, IL 60134-3911

Phone

(630) 232-1070

NPI assigned

Jun 12, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tricity Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Charles, IL
  • NPI 1255873519
  NPD
• Tricity Family Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Geneva, IL
  • NPI 1598850778

  Clinical

  NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1073355632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RANDALL CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RANDALL CT",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343911",
            "telephone_number": "630-232-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "SHANNON",
        "middle_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew McFadden, PSYD, PLLC
• Matthew S Hendrickson, OD & Associates PC (Clarity Eye Care)
• Maxillofacial and Facial Aesthetic Surgery
• Amy M May, R.N., B.S.N.
• Gabriella M May
• Jared Michael McCaffrey
• Ryan James McCall, DDS
• Eva M McCallister-James, MSW/LSW
• Sarah McCann, RN
• Cory Ray McCleave, MD, MBA

• Clinical Social Worker in Geneva, IL
• Providers in Geneva, 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 Jun 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.