Shannon Marie James, MSW, LCSW, SAC-IT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9133 Issued in WI

Practice address

9730 W Bluemound Rd Ste 11
Wauwatosa, WI 53226-4455

Phone

(414) 336-0525

Fax

(414) 930-2986

NPI assigned

Dec 3, 2017

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shannon James LLC

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1275182172
  NPD Authorized official
• Shannon James LLC

  • Community/Behavioral Health Agency
  • Wauwatosa, WI
  • NPI 1982212551

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1174038954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123448",
            "telephone_number": "414-336-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 W BLUEMOUND RD STE 11",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532264455",
            "telephone_number": "414-336-0525",
            "fax_number": "414-930-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "918 E North Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532123448",
            "country_code": "US",
            "telephone_number": "414-336-8651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "668 N Main St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Mayville",
            "state": "WI",
            "postal_code": "530501249",
            "country_code": "US",
            "telephone_number": "414-336-8639",
            "fax_number": "414-930-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "MSW, LCSW, SAC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-03",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10004541",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily E Jacobs, PA-C
• Anna Jacques
• Tanya Jahr
• Barbara James
• Sara Renee James, M.S., LMFT
• Jennifer Marie Jamison, MD
• Kathleen Janousky, QTT
• Mary Therese Jansen-Kubicek, LCSW
• Anna Janulewicz, AA
• Janet L. Jasniewski, N.P.

• Clinical Social Worker in Wauwatosa, WI
• Providers in Wauwatosa, 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 Jul 20, 2020; 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.