Active NPI
Shannon Link, LCSW
- Clinical Social Worker
- Lafayette, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09925438
- Practice address
- 1455 Dixon Ave
Lafayette, CO 80026 - Phone
- (303) 443-8500
- NPI assigned
- May 21, 2018
- Last updated
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 09925438 | CO | Primary |
Addresses
Primary practice location
1455 Dixon Ave
Lafayette, CO 80026
Mailing address
1786 34TH St NE
Sauk Rapids, MN 56379-4574
Phone (320) 267-4297
Other practice location 1
1106 17th St S
Sartell, MN 56377-2171
Phone (320) 267-4297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09925438 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CentraCare Health - Sauk Centre Clinic
- Rural Health Clinic/Center
- Sauk Centre, MN
- NPI 1578813762
-
- Critical Access Hospital
- Sauk Centre, MN
- NPI 1740553932
-
- Medicare Defined Swing Bed Hospital Unit
- Sauk Centre, MN
- NPI 1487928743
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1134610744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 34TH ST NE",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "563794574",
"telephone_number": "320-267-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "80026",
"telephone_number": "303-443-8500"
}
],
"practiceLocations": [
{
"address_1": "1106 17th St S",
"address_purpose": "LOCATION",
"city": "Sartell",
"state": "MN",
"postal_code": "563772171",
"country_code": "US",
"telephone_number": "320-267-4297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINK",
"first_name": "SHANNON",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "09925438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.