Shanna O'Brien, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

016578874922 Issued in IL

Practice address

710 Peoria St
Peru, IL 61354-3351

Phone

(815) 780-0690

Fax

(815) 410-1937

NPI assigned

Jan 24, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wellness and Recovery With Maitri, Inc. NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Peru, IL
  • NPI 1295511939
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1477315620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 PEORIA ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543351",
            "telephone_number": "815-780-0690",
            "fax_number": "815-410-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PEORIA ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543351",
            "telephone_number": "815-780-0690",
            "fax_number": "815-410-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SHANNA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "016578874922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Needs, D.C.
• Anne M Neumann, O.D.
• New Life Health & Wellness LLC
• Dennis Nink, P.T.
• Tracy Nodland
• Laura Oberholz, FNP
• Oncology-Hematology Associates of Central Illinois P C
• Oneopto Il 2 PLLC
• Osf Healthcare System
• Ottawa Regional Hospital & Healthcare Center

• Social Worker in Peru, IL
• Providers in Peru, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.