Individual provider Active NPI

Shannon Dawn Langlois-Kondracki, LMSW, CAADC

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1609527357
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121142 Issued in MI
Practice address
400 Ann St NW Ste 207
Grand Rapids, MI 49504-2054
Phone
(616) 965-1229
NPI assigned
Jan 14, 2022
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121142 MI Primary

Addresses

Primary practice location

400 Ann St NW Ste 207
Grand Rapids, MI 49504-2054

Mailing address

400 Ann St NW Ste 207
Grand Rapids, MI 49504-2054
Phone (616) 965-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260209003458 MI Practitioner - Clinical Social Worker 8224517396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1323 Maplerow Ave NW
Grand Rapids, MI 49534-2267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121142MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Harmony Counseling, PLLC CurrentSince Jan 30, 2026 Accepting new patients

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": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1609527357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ANN ST NW STE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042054",
            "telephone_number": "616-965-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ANN ST NW STE 207",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042054",
            "telephone_number": "616-965-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOIS-KONDRACKI",
        "first_name": "SHANNON",
        "middle_name": "DAWN",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.