NPIMap

Organization Active NPI

Shannon James LLC

  • Clinical Social Worker
  • Milwaukee, WI
National Provider Identifier
1275182172
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHANNON JAMES LLC
Practice address
5420 W State St
Milwaukee, WI 53208-2514
Phone
(414) 336-8639
Fax
(414) 930-2986
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Shannon James, MSW, LCSW, SAC-ITNPI 1174038954
Title
Owner/Therapiste
Phone
(414) 336-8651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5420 W State St
Milwaukee, WI 53208-2514

Mailing address

918 E North Ave
Milwaukee, WI 53212-3448
Phone (414) 336-8651

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon@smjameslcsw.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Shannon James LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1275182172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 E NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123448",
            "telephone_number": "414-336-8651",
            "fax_number": "414-930-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 W STATE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532082514",
            "telephone_number": "414-336-8639",
            "fax_number": "414-930-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON JAMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER/THERAPISTE",
        "authorized_official_telephone_number": "414-336-8651",
        "authorized_official_credential": "MSW, LCSW, SAC-IT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@smjameslcsw.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5420 W State St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532082514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.