Individual provider Active NPI

Shannon Burke, MSW, LISW-S

  • School Social Worker
  • Cincinnati, OH
National Provider Identifier
1225578917
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
I.190651 Issued in OH
Practice address
615 Elsinore PL Ste 500
Cincinnati, OH 45202-1455
Phone
(513) 231-6630
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.190651 OH
School Social Worker 1041S0200X I.190651 OH Primary

Addresses

Primary practice location

615 Elsinore PL Ste 500
Cincinnati, OH 45202-1455

Mailing address

615 Elsinore PL Ste 500
Cincinnati, OH 45202-1455
Phone (513) 889-7850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.190651OHMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beech Acres Parenting Center CurrentSince Apr 9, 2024 Accepting new patients

Locations

6881 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 231-6630

615 Elsinore Pl
Ste 500
Cincinnati, OH 45202
Phone (513) 231-6630

Interoperability endpoints

  • Direct secure messaging: shannon.burke.1@14940.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1225578917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021455",
            "telephone_number": "513-889-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 500",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021455",
            "telephone_number": "513-231-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SHANNON",
        "name_prefix": "Miss",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.190651",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "I.190651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.