Individual provider Active NPI

Shannon Hill, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1538542147
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
69329 Issued in TX
Practice address
8990 Kirby Dr Ste 220
Houston, TX 77054-2853
Phone
(346) 241-6650
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 69329 TX Primary
Clinical Social Worker 1041C0700X P009680 NC
Clinical Social Worker 1041C0700X LICSW1120440 MA

Addresses

Primary practice location

8990 Kirby Dr Ste 220
Houston, TX 77054-2853

Mailing address

8990 Kirby Dr Ste 220
Houston, TX 77054-2853
Phone (346) 241-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101000937 TX Practitioner - Clinical Social Worker 7810364023 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69329TXMDProfessional Counselor
LICSW1120440MAMDClinical Social Worker
P009680NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gracefully Broken Counseling, LLC Clinical Current Accepting new patients
Supportive Care LLC CurrentSince Jun 1, 2023 Accepting new patients
The Resilience Center of Houston, LLC Clinical CurrentSince Oct 3, 2022 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

13333 Dotson Rd
Ste 160
Houston, TX 77070
Phone (631) 295-6516

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

3400 E Walnut St
Pearland, TX 77581
Phone (281) 485-2776

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1538542147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 KIRBY DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542853",
            "telephone_number": "346-241-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 KIRBY DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542853",
            "telephone_number": "346-241-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69329",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009680",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1120440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.