Shannon Kamber

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PCSW-647 Issued in WY

Practice address

612 W 17TH St
Cheyenne, WY 82001-4343

Phone

(307) 634-0823

NPI assigned

May 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

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.

• Goodwill Industries of Wy, Inc.

  • Case Management Agency
  • Cheyenne, WY
  • NPI 1639303167
  NPD (past)
• Goodwill Industries of Wyoming Inc.

  • Developmentally Disabled Services Day Training Agency
  • Cheyenne, WY
  • NPI 1043448921

  Day Training, Developmentally Disabled Services

  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306225313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014343",
            "telephone_number": "307-634-0823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W 17TH ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014343",
            "telephone_number": "307-634-0823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 E 21st St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820014134",
            "country_code": "US",
            "telephone_number": "719-553-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMBER",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "PCSW-647",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kahre, MD
• Anna Kaiser-Ornelaz
• Kadra Kyann Kalamaha, MD
• Natasha Kalda, PHARMD
• Kelly Marie Kamarad, DPT, PT, MS
• Rabia Kamboj, DO
• Jason C Kamm, M.P.T.
• Robert R Kanard, M.D.
• Alexandra Kane, LCSW
• Karin Kantz, RD

• Clinical Social Worker in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.