Dawn Shannon, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6404 Issued in KY

Practice address

1228 Ashley Cir Ste 5
Bowling Green, KY 42104-5803

Phone

(270) 495-1222

Fax

(859) 209-6504

NPI assigned

Apr 1, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Evolving Lives LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1477144046
  NPD (past)

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1154061489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 WOODHAVEN PLACE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282809",
            "telephone_number": "502-876-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 ASHLEY CIR STE 5",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045803",
            "telephone_number": "270-495-1222",
            "fax_number": "859-209-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DAWN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6404",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "6404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdawn@evolvinglivesllc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "1228 Ashley Cir Ste 5",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421045803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Shadowen, M.D.
• Vivek Prakash Shah
• Morteza Shahmir, M.D.
• Areeba Shahnawaz, MD
• Shanna G. Burress, DMD, PSC
• Jacqualyn D Shannon
• Kyra Loraine Sharp, APRN
• Kellyanne Shaw
• Ryan Shaw, D.C.
• Ava Shea

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.