Shannon Marie Servi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8299-C Issued in NV

Practice address

491 Court St
Reno, NV 89501-1708

Phone

(775) 525-8103

NPI assigned

Feb 4, 2013

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

Other names 1

• Shannon Marie Nunnemaker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Paradox Therapy, LLC

  • Clinical Social Worker
  • Sparks, NV
  • NPI 1780329383
  NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1508105016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7792 LAMPASAS DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369803",
            "telephone_number": "775-315-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COURT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011708",
            "telephone_number": "775-525-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVI",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8299-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "NUNNEMAKER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Rose Serrao
• Cecilia Zamora Serujo, RBT
• Jeanine Serusa, LMFT
• Servant Heart Senior Living LLC
• Lucinda Elizabeth Servi
• Sofia Sevillano
• Gabrielle Sewell
• Glen Thomas Sewell, M.D.
• Angelia Sexton
• April Anne Sexton

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.