Shawn C Dennis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2428-C Issued in AR

Practice address

275 Main St
Mammoth Spring, AR 72554

Phone

(417) 259-2452

Fax

(417) 322-6099

NPI assigned

Nov 19, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Families, Inc of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jonesboro, AR
  • NPI 1770535569
  Medicare reassignment NPD
• Diversified Consulting and Therapy Services PLLC

  • Clinical Social Worker
  • Thayer, MO
  • NPI 1710838693
  NPD Authorized official
• Families, Inc. of Arkansas

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pocahontas, AR
  • NPI 1275623035
  NPD

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1689902256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657910117",
            "telephone_number": "417-259-2452",
            "fax_number": "417-322-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MAIN ST",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "72554",
            "telephone_number": "417-259-2452",
            "fax_number": "417-322-6099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 Pleasant Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017870",
            "country_code": "US",
            "telephone_number": "870-933-6886",
            "fax_number": "970-933-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "SHAWN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2428-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227659719",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5R661",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178890795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Burrus, LCSW
• Charlotte Featherston Counseling Agency, LLC
• Michael J Clark
• Sarah Clark, CCHW
• Christopher D Cochran, MD
• Shawn Dylan Dennis, LCSW
• Family Health Care
• Family Health Care LLC
• Family Health Care, LLC
• Charlotte Ann Featherston, LPC

• Clinical Social Worker in Mammoth Spring, AR
• Providers in Mammoth Spring, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.