Individual provider Active NPI

Shannan Marie Lester, LMSW, ACSW, CAADC

  • Clinical Social Worker
  • Coldwater, MI
National Provider Identifier
1235407024
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801064276 Issued in MI
Practice address
28 W Chicago St
Suite 3J
Coldwater, MI 49036-1677
Phone
(517) 617-3471
Fax
(517) 278-7873
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801064276 MI Primary

Addresses

Primary practice location

28 W Chicago St
Suite 3J
Coldwater, MI 49036-1677

Mailing address

28 W Chicago St
Suite 3J
Coldwater, MI 49036-1677
Phone (517) 617-3471

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120706000221 MI Practitioner - Clinical Social Worker 1456516996 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County CurrentSince Jun 1, 2025 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients

Locations

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

Organizations & group practices 4

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1235407024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W CHICAGO ST",
            "address_2": "SUITE 3J",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361677",
            "telephone_number": "517-617-3471",
            "fax_number": "517-278-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W CHICAGO ST",
            "address_2": "SUITE 3J",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361677",
            "telephone_number": "517-617-3471",
            "fax_number": "517-278-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "SHANNAN",
        "middle_name": "MARIE",
        "credential": "LMSW, ACSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801064276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.