Active NPI
Shannon Andrews, LCSW
- Clinical Social Worker
- Hayden, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-36039
- Practice address
- 9494 N Government Way # 103
Hayden, ID 83835-9848 - Phone
- (208) 967-6895
- Fax
- (208) 277-0766
- NPI assigned
- Sep 1, 2016
- Last updated
- Oct 5, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | LCSW-36039 | ID | Primary |
Addresses
Primary practice location
9494 N Government Way # 103
Hayden, ID 83835-9848
Mailing address
PO Box 1575
Post Falls, ID 83877-1575
Phone (208) 967-6895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8139486-3501 | Other | UT | UTAH LICENSE |
| LCSW-36039 | Other | ID | PROFESSIONAL STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
9494 N Government Way
Hayden, ID 83835-9848
Phone (208) 967-6895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Counseling Services PLLC | Clinical | Current | Accepting new patients |
Locations
1250 W Ironwood Dr
Ste 335
Coeur D Alene, ID 83814
Phone (208) 667-1174
9494 N Government Way
#103
Hayden, ID 83835
Phone (208) 967-6895
9494 N Government Way
Ste 103
Hayden, ID 83835
1224 N Idaho St
Ste 6
Post Falls, ID 83854
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Post Falls, ID
- NPI 1982235982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1477009041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1575",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838771575",
"telephone_number": "208-967-6895",
"fax_number": "208-277-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9494 N GOVERNMENT WAY # 103",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838359848",
"telephone_number": "208-967-6895",
"fax_number": "208-277-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SHANNON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ID",
"license": "LCSW-36039",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UTAH LICENSE",
"identifier": "8139486-3501",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL STATE LICENSE",
"identifier": "LCSW-36039",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayden, ID
- Albertsons LLC (Safeway Pharmacy #0254)
- Alysha Summer Allen
- Holly B Alling, M.A., CCC-SLP
- Kailyn Alt
- Amaris Associates, PLLC (Amaris Behavioral Health)
- Chase Lane Andriopoulos, OTR/L
- Marissa Armour, LMT
- Katelin Nicole Arnold, DNP, APRN, FNP-C
- Inga Arts, CPM
- Assisted Living Concepts Inc (Sylvan House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.