Individual provider Active NPI

Shannon L Larkin, M.S.W., LCSW, CADC

  • Clinical Social Worker
  • Winfield, IL
National Provider Identifier
1699096404
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
28W671 Garys Mill Rd
Winfield, IL 60190-1564
Phone
(630) 293-9860
Fax
(630) 293-9861
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 IL Primary

Addresses

Primary practice location

28W671 Garys Mill Rd
Winfield, IL 60190-1564

Mailing address

28W671 Garys Mill Rd
Winfield, IL 60190-1564
Phone (630) 293-9860

Other practice location 1

3933 75th St Ste 102
Aurora, IL 60504-8015
Phone (630) 293-9860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241224000949 IL Practitioner - Clinical Social Worker 3375070758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathways Psychology Services PCGroup PAC ID 5294918017, 12 clinicians

Practice addresses (Care Compare)

28 W671 Garys Mill Rd
Winfield, IL 60190-1564
Phone (630) 293-9860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychology Services P.C. CurrentSince Oct 19, 2024 Accepting new patients

Locations

3933 75th St
Ste 102
Aurora, IL 60504
Phone (630) 293-9860

28W671 Garys Mill Rd
Winfield, IL 60190
Phone (630) 293-9860

Organizations & group practices 1

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1699096404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28W671 GARYS MILL RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901564",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3933 75th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605048015",
            "country_code": "US",
            "telephone_number": "630-293-9860",
            "fax_number": "630-293-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "SHANNON",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S.W., LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

Verify at the official NPI Registry.