Shannon Lavon Brown, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-33226 Issued in ID

Practice address

1001 N 7TH Ave Ste 135
Pocatello, ID 83201-5790

Phone

(208) 425-2489

NPI assigned

May 20, 2011

Last updated

Feb 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.brown.1@16258.direct.athenahealth.com

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.

• Health West, Inc.

  dba Health West Preston Clinic

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541
  Medicare reassignment Care Compare group NPD
• Health West, Inc.

  dba Health West Providence

  • Federally Qualified Health Center (FQHC)
  • Providence, UT
  • NPI 1528774452
  Medicare reassignment NPD
• Health West, Inc.

  dba Health West Aberdeen Clinic

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796
  NPD
• Health West, Inc.

  dba Health West Downey Clinic

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945
  NPD
• Health West, Inc.

  dba Health West American Falls Clinic

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235
  NPD
• Health West, Inc.

  dba Sryinga Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD
• Health West, Inc.

  dba Health West ISU

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1912261413
  NPD
• Health West, Inc.

  dba Health West Brigham City

  • Federally Qualified Health Center (FQHC)
  • Brigham City, UT
  • NPI 1518673441
  NPD
• Health West, Inc.

  dba Health West City Center

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1013547801
  NPD (past)
• Health West, Inc.

  dba Greenacres Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1134895071
  NPD (past)
• Health West, Inc.

  dba Health West Pocatello Clinic

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1154320752
  NPD (past)
• Health West, Inc.

  dba Claude A. Wilcox Elementary School

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1366174088
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1184917346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880",
            "telephone_number": "208-232-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 7TH AVE STE 135",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015790",
            "telephone_number": "208-425-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SHANNON",
        "middle_name": "LAVON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW 29478",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-33226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy L Brown, LCSW
• Crete Brown
• Dylan Brown
• Rachel Brown, LPC
• Ryan Brown
• Tonja Jean Brown, OT
• Brandon Rex Browning, LCPC
• Jennie Brumfield, PMHNP
• Cathy Brydon, LPC
• Bryndon James Belnap DDS Ms PC (Belnap & Summers Orthodontics)

• Clinical Social Worker in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.