Shannon Marie Dewey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11326123 Issued in WI

Practice address

5508 W Vliet St
Milwaukee, WI 53208-2120

Phone

(414) 339-7681

NPI assigned

Jun 24, 2025

Reactivated

Nov 6, 2025

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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1205724713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082120",
            "telephone_number": "920-277-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 W VLIET ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082120",
            "telephone_number": "414-339-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "deactivation_date": "2025-08-17",
        "reactivation_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11326123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lynn Devries, LM, CPM, CNM, APNP
• Michael Steven Dewan, DDS
• Paige Dewane, APNP
• Mary Elizabeth Dewaters, DO
• Kelsey Anne Dewey, PA-C
• Sushma Dey, PHARMD
• Larisa Denise Dezayas, COMS
• Joshua Dezek, CP
• Lisa C Dezelan, PA
• DGD Transit LLC

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, 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 Nov 17, 2025; 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.