Shannah Ziatz, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1115 N Grand Ave Ste 200
Pueblo, CO 81003-2868

Phone

(719) 924-4785

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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 and National Provider Directory roles.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment NPD
• Whole Person Psychotherapy

  • Clinical Social Worker
  • Pueblo, CO
  • NPI 1609398965
  NPD Authorized official

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609034263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N GRAND AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032868",
            "telephone_number": "719-924-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N GRAND AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032868",
            "telephone_number": "719-924-4785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Franklin Blvd",
            "address_2": "Suite 625",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958231820",
            "country_code": "US",
            "telephone_number": "916-388-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Main St Ste 306",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810034517",
            "country_code": "US",
            "telephone_number": "916-666-9659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810032867",
            "country_code": "US",
            "telephone_number": "719-924-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIATZ",
        "first_name": "SHANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahmad Zain, M.B.B.S
• Angela Zamarripa, CMT
• Nayeli Zarate, MD
• Kayleigh Ann Zerr, D.O.
• Zeeshan Zia, M.D.
• Jennifer Margaret Ziegler, PA-C
• Marcel Zollicoffer
• Kristi Sue Zordel, COTA
• Joseph P Zufall, DDS
• James F Zugelder, RPH

• Clinical Social Worker in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.