Shanna Clair Thomas, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013646 Issued in IL

Practice address

600 Spring Hill Ring Rd
Suite 106
West Dundee, IL 60118-7300

Phone

(630) 913-7045

Fax

(630) 551-2213

NPI assigned

Jun 24, 2009

Sex

Female

Sole proprietor

No

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

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.

• Innovative Behavioral Health, P.C.

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1730295841
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1285862581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N SPARKLE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437942",
            "telephone_number": "630-913-7045",
            "fax_number": "630-551-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "address_2": "SUITE 106",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "630-913-7045",
            "fax_number": "630-551-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHANNA",
        "middle_name": "CLAIR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sury Optical, Inc.
• Sofia N Syed, O.D.
• Jill Marie Tabone, MA, CCC/SLP
• Target Corporation and Subsidiaries
• Shah Noor Tariq
• Titan Medical Associates LTD.
• David V. Trandel, PH.D.
• Thomas M Troutman, OD
• Zero Elizabeth Tucker
• Daniela Valenzuela

• Clinical Social Worker in West Dundee, IL
• Providers in West Dundee, 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 Jun 24, 2009; 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.