Active NPI
Shannon Francis, MSW, LISW
- Clinical Social Worker
- Cleveland, OH
National Provider Identifier
1407324577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-2914 - Phone
- (216) 444-2200
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1501436 | OH | |
| Clinical Social Worker | 1041C0700X | I.1901654 | OH | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-2914
Mailing address
1730 W 25TH St
Cleveland, OH 44113-3170
Phone (216) 363-2122
Other practice location 1
12300 McCracken Rd
Garfield Heights, OH 44125-2914
Phone (440) 636-3365
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1501436 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holding Space LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1407324577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 W 25TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441133170",
"telephone_number": "216-363-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441952914",
"telephone_number": "216-444-2200"
}
],
"practiceLocations": [
{
"address_1": "12300 McCracken Rd",
"address_purpose": "LOCATION",
"city": "Garfield Heights",
"state": "OH",
"postal_code": "441252914",
"country_code": "US",
"telephone_number": "440-636-3365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRANCIS",
"first_name": "SHANNON",
"name_prefix": "Mrs.",
"credential": "MSW, LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "1501436",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901654",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.