Shannon Diane Oesch, LCSW, CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3781 Issued in HI

Practice address

3713 Holmes LN
Alexandria, VA 22302-2012

Phone

(808) 457-6336

Fax

(855) 865-0787

NPI assigned

Dec 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Swell LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1205187556
  NPD (past) Authorized official

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1447589411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 UNIVERSITY AVE",
            "address_2": "#204",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263262",
            "telephone_number": "808-864-0016",
            "fax_number": "808-262-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 HOLMES LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223022012",
            "telephone_number": "808-457-6336",
            "fax_number": "855-865-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESCH",
        "first_name": "SHANNON",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010002",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "1493-09",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Odom, PHARMD
• Abimbola Odukoya, DO
• Alexander Oduro, RN
• Oluwayemisi I Odusegun, PT,DPT
• Xiongjiao Oertel, LMT
• George Oware Ofosu, PHARMD
• Saman Oghlidos, RPH
• Ogochukwu Ogoegbunam
• Anne N Ohumay, BSC, RPH
• Kenneth Okah, PHARMD

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.