Shannon Marie Rebiejo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8232-C Issued in NV

Practice address

6 Steptoe Cir
Ely, NV 89301-2692

Phone

(775) 289-3612

Fax

(775) 289-6423

NPI assigned

Mar 28, 2016

Last updated

Jun 9, 2023By the provider in NPPES

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

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

37.4 of 100Reported as group

Quality

27.48

Improvement activities

0

Cost

71.43

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1801355482

  NV

  Medicare reassignment Care Compare group NPD
• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment NPD
• William Bee Ririe Hospital

  • Critical Access Hospital
  • Ely, NV
  • NPI 1487648804
  Medicare reassignment NPD
• Great Basin Therapy and Resources

  • Clinical Social Worker
  • Reno, NV
  • NPI 1275215204
  NPD Authorized official
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD
• State of Nevada

  dba Yerington Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yerington, NV
  • NPI 1629168984
  NPD
• William Bee Ririe Hospital

  • Family Nurse Practitioner
  • Crescent Valley, NV
  • NPI 1699284901
  NPD
• William Bee Ririe Retail Pharmacy

  • Community/Retail Pharmacy
  • Ely, NV
  • NPI 1831729268
  NPD
• State of Nevada

  dba Winnemucca Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnemucca, NV
  • NPI 1275623530
  NPD (past)
• State of Nevada

  dba Silver Springs Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Springs, NV
  • NPI 1811079742
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1558723650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STEPTOE CIR",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012692",
            "telephone_number": "775-289-3612",
            "fax_number": "775-289-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STEPTOE CIR",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893012692",
            "telephone_number": "775-289-3612",
            "fax_number": "775-289-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBIEJO",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "8232-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Shawn Pinkham
• Nancy J Plaskett, MPH,RD
• Kendra Jo Poulsen, REGISTERED NURSE
• David Harris Pratt, DO
• June L. Prather Puckett, CRNA
• Mark A. Rhodes, M.D.
• Ridley's Family Markets, Inc (Ridley's Clinic Pharmacy)
• Ridley's Family Markets, Inc (Ridley's Pharmacy #1154)
• Robertson Optometry LLC
• Kent Mitchell Robertson, O.D.

• Clinical Social Worker in Ely, NV
• Providers in Ely, 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 Jun 9, 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.

Verify at the official NPI Registry.