Individual provider Active NPI

Shannon McCann

  • Clinical Social Worker
  • Salt Lake City, UT
National Provider Identifier
1629529102
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8598659-3501 Issued in UT
Practice address
60 S 600 E Ste 100
Salt Lake City, UT 84102-1028
Phone
(801) 906-0525
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 8598659-3501 UT Primary

Addresses

Primary practice location

60 S 600 E Ste 100
Salt Lake City, UT 84102-1028

Mailing address

1516 S 1100 E Ste a
Salt Lake City, UT 84105-2425

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
8598659-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Utah PLLC Clinical CurrentSince May 7, 2024 Accepting new patients
Salt Lake Counseling and Coaching, PLLC CurrentSince May 7, 2024 Accepting new patients

Locations

1516 S 1100 E
Ste A
Salt Lake City, UT 84105
Phone (435) 287-4197

60 S 600 E
Ste 100
Salt Lake City, UT 84102
Phone (602) 614-0751

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1629529102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 S 1100 E STE A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841052425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S 600 E STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021028",
            "telephone_number": "801-906-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "8598659-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.