Shannon L Gnacinski, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW124870 Issued in PA

Practice address

135 E 38TH St
Erie, PA 16504-1559

Phone

(814) 860-2472

Fax

(814) 868-6247

NPI assigned

Aug 14, 2012

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

Other names 1

• Shannon L Peterson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1649527110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 MELROSE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041559",
            "telephone_number": "814-860-2472",
            "fax_number": "814-868-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNACINSKI",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW124870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "PETERSON",
            "middle_name": "L",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Global Healthcare of Erie, LLC
• Global in-Home Care LLC
• Patrick A Glover Jr., D.C.
• Barb Gmuer, M.S.
• Paul J Gmuer, MD
• Kimberly Marie Gnarra, MS OTR/L
• Judy A. Goddard, CRNA
• Daniel Eugene Godfrey, DPM
• Kimberly Godoy
• Sarah T Goebel, MSW, LCSW-R

• Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.