Individual provider Active NPI

Shannon Papist, LLMSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1679236939
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851107183 Issued in MI
Practice address
116 E 8TH St
Traverse City, MI 49684-2580
Phone
(231) 346-5239
NPI assigned
Oct 14, 2021
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 6851107183 MI Primary

Addresses

Primary practice location

116 E 8TH St
Traverse City, MI 49684-2580

Mailing address

1000 S Garfield Ave
Traverse City, MI 49686-2404
Phone (231) 346-5239

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shannonp@addictiontreatmentservices.org Direct

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
6851107183MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Addiction Treatment Services, Inc. Social Worker PastSince Oct 17, 2021 Accepting new patients
Addiction Treatment Services, Inc PastSince Oct 17, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shannonp@addictiontreatmentservices.org

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, 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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1679236939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862404",
            "telephone_number": "231-346-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842580",
            "telephone_number": "231-346-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPIST",
        "first_name": "SHANNON",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851107183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shannonp@addictiontreatmentservices.org",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "116 E 8th St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.