Individual provider Active NPI

Shannon Marie Cody

  • Social Worker
  • Fresno, CA
National Provider Identifier
1720714694
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
133511 Issued in CA
Practice address
6051 N Fresno St Ste 202
Fresno, CA 93710-5280
Phone
(559) 256-0100
NPI assigned
Jul 25, 2022
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 133511 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

6051 N Fresno St Ste 202
Fresno, CA 93710-5280

Mailing address

5560 W Millbrae Ave
Fresno, CA 93722-8810
Phone (760) 975-9939

Other practice location 1

1396 W Herndon Ave
Fresno, CA 93711-7126
Phone (559) 256-0100

Other practice location 2

1410 F St # 101
Fresno, CA 93706-1608
Phone (559) 256-0100

Other names 1

  • Shannon Marie Hofmann Former name

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
133511CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View Past Accepting new patients
Community Research Foundation Inc Clinical PastSince Jul 1, 2022 Accepting new patients

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1720714694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 W MILLBRAE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228810",
            "telephone_number": "760-975-9939",
            "fax_number": "760-509-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105280",
            "telephone_number": "559-256-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1396 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937117126",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 F St # 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937061608",
            "country_code": "US",
            "telephone_number": "559-256-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODY",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "133511",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HOFMANN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.