Individual provider Active NPI

Shannon C Francis, LCSW

  • Social Worker
  • Scottsdale, AZ
National Provider Identifier
1134690746
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-16616 Issued in AZ
Practice address
10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346
Phone
(602) 679-8743
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-16616 AZ Primary

Addresses

Primary practice location

10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346

Mailing address

10105 E Via Linda Ste 103
Scottsdale, AZ 85258-5346
Phone (480) 679-8743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-16616AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Well Therapy CurrentSince Mar 24, 2024 Accepting new patients
Dehp LLC PastSince Sep 8, 2019 Accepting new patients
Dehp LLC Past Accepting new patients

Locations

10105 E Via Linda
Ste 103
Scottsdale, AZ 85258
Phone (520) 585-6844

10105 E Via Linda
Ste 1037
Scottsdale, AZ 85258
Phone (480) 679-8743

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1134690746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585346",
            "telephone_number": "480-679-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585346",
            "telephone_number": "602-679-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "SHANNON",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2022-04-04",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-16616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.