Individual provider Active NPI

Shannon Coates, MSW, LSW

  • Clinical Social Worker
  • Beachwood, OH
National Provider Identifier
1548660327
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1500620 Issued in OH
Practice address
3681 Green Rd Ste 404
Beachwood, OH 44122-5716
Phone
(216) 342-5484
Fax
(216) 450-1126
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X S.1500620 OH Primary

Addresses

Primary practice location

3681 Green Rd Ste 404
Beachwood, OH 44122-5716

Mailing address

3359 Meadowbrook Blvd
Cleveland Heights, OH 44118-3429

Other practice location 1

3359 Meadowbrook Blvd
Cleveland Heights, OH 44118-3429
Phone (440) 812-2651

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannon@progressioncg.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1500620OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hillary Schultz Therapy CurrentSince Jul 25, 2021 Accepting new patients

Locations

3681 Green Rd
Ste 404
Shaker Heights, OH 44122
Phone (216) 342-5484

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.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1548660327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 MEADOWBROOK BLVD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3681 GREEN RD STE 404",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225716",
            "telephone_number": "216-342-5484",
            "fax_number": "216-450-1126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3359 Meadowbrook Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland Heights",
            "state": "OH",
            "postal_code": "441183429",
            "country_code": "US",
            "telephone_number": "440-812-2651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1500620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannon@progressioncg.com",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "address_1": "3681 Green Rd Ste 404",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.