Shannon Martina Rapalo Medina, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26538 Issued in MN

Practice address

5404 N Lovers Lane Rd Ste 10
Milwaukee, WI 53225-3006

Phone

(218) 332-4771

NPI assigned

Jan 20, 2023

Sex

Female

Sole proprietor

No

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

Enrolled in MN, WI2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Your Story Matters Counseling

  • Community/Behavioral Health Agency
  • Minneapolis, MN
  • NPI 1396424446

  WI

  Medicare reassignment Authorized official
• Truefaith Services

  • Clinic/Center
  • Edina, MN
  • NPI 1740098094
  Medicare reassignment NPD
• Lighthouse Psychological Services Inc

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1548428170
  Medicare reassignment

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1104531458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 N LOVERS LANE RD STE 10",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253006",
            "telephone_number": "218-332-4771",
            "fax_number": "612-486-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 N LOVERS LANE RD STE 10",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253006",
            "telephone_number": "218-332-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6417 Penn Ave S Ste 7-1055",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554231186",
            "country_code": "US",
            "telephone_number": "218-332-4771",
            "fax_number": "612-486-7103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5155 E River Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Fridley",
            "state": "MN",
            "postal_code": "554213777",
            "country_code": "US",
            "telephone_number": "763-913-9184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAPALO MEDINA",
        "first_name": "SHANNON",
        "middle_name": "MARTINA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vaishnavi Rao
• Veitla Sankeertha Rao, MD
• Veluvolu K Rao, MD
• Digvijay Raol, PHARMD
• Krishna Raol, M.D.
• Daniel T Rapp, MD
• Sydney Marie Rapp, APNP
• Adam E Rappe, RT(R)
• Matthew Werner Rappelt
• Rappid LLC

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.