Shannon L Kennealey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09927382 Issued in CO

Practice address

5340 S Quebec St Ste 330
Greenwood Village, CO 80111-1909

Phone

(773) 320-0345

NPI assigned

Jan 7, 2022

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1437810884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CHARLOU CIR",
            "city": "CHERRY HILLS VILLAGE",
            "state": "CO",
            "postal_code": "801111103",
            "telephone_number": "720-242-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST STE 330",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111909",
            "telephone_number": "773-320-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEALEY",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher E Kelley, PSYD
• John Curtis Kelly
• William Charles Kelly, MD
• Myron Richard Kem, M.D.
• Hope Ann Kemper, CRNA
• Ashlyn Dixon Kennedy, OTR/L
• Kimberly Kennedy
• Margaret Kennedy, MA
• Katy Kennerley, SLP-CCC
• Kenneth Allan, LLC

• Clinical Social Worker in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.