Active NPI
Michael Shannon, LCSW
- Clinical Social Worker
- Canoga Park, CA
National Provider Identifier
1689148355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 129141
- Practice address
- 6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255 - Phone
- (213) 655-0382
- NPI assigned
- Jan 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW84215 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | 129141 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Social Worker | 104100000X |
Addresses
Primary practice location
6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255
Mailing address
6800 Owensmouth Ave Ste 160
Canoga Park, CA 91303-4255
Phone (213) 655-0382
Other practice location 1
1529 E Palmdale Blvd Ste 150
Palmdale, CA 93550-2038
Phone (661) 575-1800
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW84215 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1689148355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 OWENSMOUTH AVE STE 160",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913034255",
"telephone_number": "213-655-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 OWENSMOUTH AVE STE 160",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913034255",
"telephone_number": "213-655-0382"
}
],
"practiceLocations": [
{
"address_1": "1529 E Palmdale Blvd Ste 150",
"address_purpose": "LOCATION",
"city": "Palmdale",
"state": "CA",
"postal_code": "935502038",
"country_code": "US",
"telephone_number": "661-575-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHANNON",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW84215",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "129141",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.