Active NPI
Patrick Michael Shanahan, MSW, LCSW
- Clinical Social Worker
- Warrenton, MO
National Provider Identifier
1255999231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW000602
- Practice address
- 1428 N State Highway 47
Warrenton, MO 63383-1375 - Phone
- (636) 359-6445
- NPI assigned
- Jun 4, 2019
- Last updated
- Jun 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW000602 | MO | Primary |
Addresses
Primary practice location
1428 N State Highway 47
Warrenton, MO 63383-1375
Mailing address
2317 Donna Maria Dr Apt 101
Warrenton, MO 63383-3299
Phone (314) 578-3524
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW000602 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1255999231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 DONNA MARIA DR APT 101",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633833299",
"telephone_number": "314-578-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 N STATE HIGHWAY 47",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633831375",
"telephone_number": "636-359-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANAHAN",
"first_name": "PATRICK",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "SW000602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.