Shannon H McDonough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003146 Issued in NC

Practice address

301 Bivens St
Wingate, NC 28174-6706

Phone

(704) 221-0078

NPI assigned

Oct 4, 2006

Last updated

Sep 30, 2021By the provider in NPPES

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

Other identifiers 1

Other names 1

• Shannon Michel Hickman Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paradigm Health Services, Inc

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1578519146

  Clinical

  NPD (past)
• Paradigm Health, LLC

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1942245568
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1437244175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 PEBBLE DR",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108909",
            "telephone_number": "704-221-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BIVENS ST",
            "city": "WINGATE",
            "state": "NC",
            "postal_code": "281746706",
            "telephone_number": "704-221-0078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Waxhaw Professional Park Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281735018",
            "country_code": "US",
            "telephone_number": "704-221-0078",
            "fax_number": "727-538-4209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Marshville",
            "state": "NC",
            "postal_code": "281031030",
            "country_code": "US",
            "telephone_number": "704-221-0078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "SHANNON",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003248",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HICKMAN",
            "middle_name": "MICHEL",
            "credential": "MSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noah Macniven
• Alex Maginnis, LAT, ATC
• Edward Albert Marshall Jr., ATC, LAT
• Sherrie P McCaskill, NURSE PRACTIONER
• Delaney McCullough
• Morgan McMahon
• Modlin & Londry V DDS PLLC
• Monarch
• Traci J Napolitano, PHD, ATC
• Jill Marie Nappi-Kaehler, PT, DPT

• Clinical Social Worker in Wingate, NC
• Providers in Wingate, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.