Active NPI
Shannon Marie McKenna, LISW
- Clinical Social Worker
- Akron, OH
National Provider Identifier
1437635836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2203980
- Practice address
- 215 W Bowery St
Akron, OH 44308-1069 - Phone
- (330) 212-5489
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701468 | OH | |
| Clinical Social Worker | 1041C0700X | I.2203980 | OH | Primary |
Addresses
Primary practice location
215 W Bowery St
Akron, OH 44308-1069
Mailing address
3942 S. Arlington St
Unit 407
Uniontown, OH 44685
Phone (330) 212-5489
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| RESTful URL | smckenna@akronchildrens.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701468 | OH | MD | Social Worker |
| I.2203980 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients |
Interoperability endpoints
- smckenna114485@direct.chmca.org
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.
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1437635836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3942 S. ARLINGTON ST",
"address_2": "UNIT 407",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "44685",
"telephone_number": "330-212-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BOWERY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081069",
"telephone_number": "330-212-5489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENNA",
"first_name": "SHANNON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2022-12-09",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701468",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2203980",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "REST",
"endpointTypeDescription": "RESTful URL",
"endpoint": "smckenna@akronchildrens.org",
"affiliation": "N",
"address_1": "215 W Bowery St",
"city": "Akron",
"state": "OH",
"country_code": "US",
"postal_code": "443081069",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.