Daphne Sainvil Shannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW16452 Issued in FL

Practice address

4800 Deerwood Campus Pkwy
Jacksonville, FL 32246-8317

Phone

(954) 477-9442

NPI assigned

Mar 8, 2021

Last updated

May 4, 2023By 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 2

Addresses

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: daphne.shannon@kindred.com
• Direct secure messaging: daphneshannon@concerthealth.io

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1215522545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "954-477-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "954-477-9442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 E Las Olas Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333012346",
            "country_code": "US",
            "telephone_number": "305-492-5836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "DAPHNE",
        "middle_name": "SAINVIL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daphne.shannon@kindred.com",
            "affiliation": "N",
            "address_1": "1516 E Las Olas Blvd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333012346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daphneshannon@concerthealth.io",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1516 E Las Olas Blvd",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333012346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPUTER",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5820 Grant St # B",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daphneshannon@concerthealth.io",
            "affiliation": "N",
            "address_1": "5820 Grant St # B",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fb.com",
            "affiliation": "N",
            "address_1": "4800 Deerwood Campus Pkwy",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322468317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John M Shanko, CRNA
• Erica Shanks, APRN
• Laquanta Denitris Shanks
• Xikerriyah E Shanks
• Andrew White Shannon, M.D., M.P.H.
• Kristin D Shannon
• Lauren Desmond Shannon, ARNP
• Matthew Brian Shannon, MD
• Micaela Rae Shannon
• Rachel Shannon

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.