Individual provider Active NPI

Shannon Lee Brooks-Rodgers, LSW

  • Social Worker
  • Schaumburg, IL
National Provider Identifier
1619684941
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.107431 Issued in IL
Practice address
1375 E Woodfield Rd Ste 220
Schaumburg, IL 60173-6068
Phone
(847) 942-8699
NPI assigned
Nov 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.107431 IL Primary

Addresses

Primary practice location

1375 E Woodfield Rd Ste 220
Schaumburg, IL 60173-6068

Mailing address

1375 E Woodfield Rd Ste 220
Schaumburg, IL 60173-6068
Phone (847) 942-8699

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
150.107431ILMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1619684941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 220",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736068",
            "telephone_number": "847-942-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E WOODFIELD RD STE 220",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736068",
            "telephone_number": "847-942-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-RODGERS",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.107431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.