Shannon Merkin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015052 Issued in IL

Practice address

2100 Manchester Rd Ste 1620
Wheaton, IL 60187-4564

Phone

(630) 296-7449

Fax

(630) 929-7532

NPI assigned

Jul 23, 2013

Last updated

Nov 14, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Healing Path Counseling, LLC

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1235584038
  NPD (past)

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1619319308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 1620",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874564",
            "telephone_number": "630-296-7449",
            "fax_number": "630-929-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD STE 1620",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601874564",
            "telephone_number": "630-296-7449",
            "fax_number": "630-929-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKIN",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2022-11-14",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Elvira Mendoza, LCSW, MSW
• Brandy Elli Menendez, FNP-C
• Beverly A Menninger, MAOTR/L
• Erica L Menocci, PA-C
• Edgar Antonio Mercado Jr., MSOT
• Alexandra Mertz
• John J Messitt, M. D.
• Anna Marie Messmore, ATC
• Diane Margaret Metrick, DDS
• Metropolitan Family Services

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.