Shannon Reschke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.017406 Issued in IL

Practice address

2326 16TH St
Moline, IL 61265-4824

Phone

(309) 793-4993

NPI assigned

Feb 24, 2016

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

State licenses

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1679933204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 19TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012514",
            "telephone_number": "309-793-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2326 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612654824",
            "telephone_number": "309-793-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCHKE",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena A Reid, DPM
• Tucker Reid
• Jane Reinhardt-Martin, R.D.
• Mark G Renier, R.PH.
• Kendra Renner
• Resolve Healthcare LLC
• Resolve Healthcare LLC
• Curtis L Rexroth, D.C.
• Breanna Catherine Reynolds, PT
• Yang H Rhee, MD

• Clinical Social Worker in Moline, IL
• Providers in Moline, 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 Jun 30, 2017; 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.