Individual provider Active NPI

Shannon Lenyse Harting, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1164600789
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2006035378 Issued in MO
Practice address
10950 Schuetz Rd
St Louis, MO 63146-5704
Phone
(314) 993-1000
Fax
(314) 812-9305
NPI assigned
Feb 6, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2006035378 MO Primary

Addresses

Primary practice location

10950 Schuetz Rd
St Louis, MO 63146-5704

Mailing address

10950 Schuetz Rd
St Louis, MO 63146-5704
Phone (314) 993-1000

Other names 1

  • Ms. Shannon Lenyse Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260519000550 IA Practitioner - Clinical Social Worker 0143392704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1706 W Agency Rd
West Burlington, IA 52655-1667

9425 Delegates Row
Indianapolis, IN 46240-3805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1164600789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10950 SCHUETZ RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "314-993-1000",
            "fax_number": "314-812-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 SCHUETZ RD",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631465704",
            "telephone_number": "314-993-1000",
            "fax_number": "314-812-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTING",
        "first_name": "SHANNON",
        "middle_name": "LENYSE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2006035378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WRIGHT",
            "middle_name": "LENYSE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.