Organization Active NPI

Shannon Cantillano Licensed Clinical Social Worker Inc Dba Inner Expansions Therapy Services

Doing business as Inner Expansions Therapy Services

  • Clinical Social Worker
  • Atascadero, CA
National Provider Identifier
1205543535
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHANNON CANTILLANO LICENSED CLINICAL SOCIAL WORKER INC DBA INNER EXPANSIONS THERAPY SERVICES
Doing business as
Inner Expansions Therapy Services
Practice address
9700 El Camino Real Ste 200
Atascadero, CA 93422-5579
Phone
(805) 460-7300
Fax
(805) 468-4290
NPI assigned
Nov 7, 2022
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Shannon Cantillano, LCSWNPI 1780811364
Title
Ceo/Clinical Director
Phone
(805) 460-7300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

9700 El Camino Real Ste 200
Atascadero, CA 93422-5579

Mailing address

7343 El Camino Real # 226
Atascadero, CA 93422-4697
Phone (805) 460-7300

Other names 1

  • Inner Expansions Therapy Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230206001731 CA Part B Supplier - Clinic/Group Practice 0143692822 Receives reassigned benefits from 1 practitioner
Practice locations: Atascadero, CA; San Luis Obispo, CA

National Provider Directory

National Provider Directory

Locations

9700 El Camino Real
Ste 200
Atascadero, CA 93422
Phone (209) 201-1993

9700 El Camino Real
Ste 303
Atascadero, CA 93422
Phone (805) 250-6505

793 Higuera St
Ste 5
San Luis Obispo, CA 93401
Phone (805) 471-6545

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1205543535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 EL CAMINO REAL # 226",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224697",
            "telephone_number": "805-460-7300",
            "fax_number": "805-468-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 200",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225579",
            "telephone_number": "805-460-7300",
            "fax_number": "805-468-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON CANTILLANO LICENSED CLINICAL SOCIAL WORKER INC DBA INNER EXPANSIONS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CANTILLANO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-460-7300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Expansions Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inner Expansions Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.