Erin Shannon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-014487 Issued in IL

Practice address

302 N Edgewood Ave
La Grange Park, IL 60526-5506

Phone

(708) 941-8254

NPI assigned

May 14, 2011

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 22, 2024 through Mar 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Psychological Services - Oak Lawn LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oak Lawn, IL
  • NPI 1386604577
  NPD (past)
• Center for Psychological Services,LTD

  • Mental Health Counselor
  • Oak Lawn, IL
  • NPI 1285874966
  NPD (past)

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

{
    "created_epoch": "1305331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305331200000",
    "number": "1225320823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EDGEWOOD AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265506",
            "telephone_number": "708-941-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EDGEWOOD AVE",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605265506",
            "telephone_number": "708-941-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ERIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-14",
        "last_updated": "2011-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-014487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Schoedel
• Laura Schoepfle
• Marie Grace Schwarzenberger, LSW, MSW
• Sensationally Balanced, PLLC
• Breana Sepulveda
• Julie Sheldon, RBT
• Gary Samuel Shunk, MSW LCSW
• Amanda Simmons
• Ryan Singh
• Brian Robert Sladek, D.D.S.

• Clinical Social Worker in La Grange Park, IL
• Providers in La Grange Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.