Active NPI
Shannon Elizabeth Hobson, LCSW
- Clinical Social Worker
- Fort Walton Beach, FL
National Provider Identifier
1174652804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW11505
- Practice address
- 137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063 - Phone
- (850) 833-7451
- Fax
- (850) 833-7439
- NPI assigned
- Mar 6, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2411-C | AR | |
| Clinical Social Worker | 1041C0700X | SW11505 | FL | Primary |
Addresses
Primary practice location
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Mailing address
137 Hospital Dr NE
Fort Walton Beach, FL 32548-5063
Phone (850) 833-7451
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Keenan LCSW and Associates | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Russellville, AR
- NPI 1407009954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1174652804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-833-7451",
"fax_number": "850-833-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 HOSPITAL DR NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485063",
"telephone_number": "850-833-7451",
"fax_number": "850-833-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBSON",
"first_name": "SHANNON",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "2411-C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW11505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.