Shannan K Kemp Watson, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S1601066 Issued in OH

Practice address

255 W Main St
Saint Clairsville, OH 43950-1040

Phone

(740) 695-9447

Fax

(740) 695-8895

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Crossroads Counseling Services, Inc.

  • Genetic Counselor (M.S.)
  • Saint Clairsville, OH
  • NPI 1326104704
  NPD
• Crossroads Counseling Services, Inc.

  • Mental Health Counselor
  • Saint Clairsville, OH
  • NPI 1396211587
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1093486920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439500118",
            "telephone_number": "740-695-9447",
            "fax_number": "740-695-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501040",
            "telephone_number": "740-695-9447",
            "fax_number": "740-695-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP WATSON",
        "first_name": "SHANNAN",
        "middle_name": "K",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-10-16",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S1601066",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0460514",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Knox LPCC, LLC
• Katrina Whipkey Chiropractic Services
• Harkiran Kaur, DDS
• Lukas Michael Kazmirski
• Deidra Keller
• Melissa Noel Kempson-Gadd, LPN
• Daniele Kendjorsky
• Brittany Ann Kenworthy
• Thomas Kettlewell
• Jacob Keyser

• Clinical Social Worker in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.