Shannon M Weise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016016 Issued in PA

Practice address

2601 N Front St Ste 106
Harrisburg, PA 17110-1123

Phone

(717) 461-7933

Fax

(717) 474-3452

NPI assigned

Apr 6, 2007

Last updated

Mar 17, 2018By the provider in NPPES

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

Other identifiers 1

Other names 1

• Shannon Weise Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Shannon Weise Counseling, LLC

  dba The Anxiety & OCD Treatment Center of Central Pennsylvania

  • Clinical Social Worker
  • New Cumberland, PA
  • NPI 1124863279
  NPD Authorized official
• Shannon Weise Counseling, LLC

  • Clinical Social Worker
  • New Cumberland, PA
  • NPI 1669321790
  NPD Authorized official
• Psychiatric Psychological & Therapeutic

  dba New Passages

  • Mental Health Counselor
  • Harrisburg, PA
  • NPI 1750398715
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760504096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 4TH ST",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "17070",
            "telephone_number": "717-461-7933",
            "fax_number": "717-474-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N FRONT ST STE 106",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101123",
            "telephone_number": "717-461-7933",
            "fax_number": "717-474-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3235 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171101308",
            "country_code": "US",
            "telephone_number": "717-234-3839",
            "fax_number": "717-234-6247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISE",
        "first_name": "SHANNON",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100775933",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "WEISE",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Bette Rubin Weinberger, MSW
• Thomas Weingartner, PT, DPT
• Aneesa Weinstein, PA-C
• Weis Markets Inc (Weis Pharmacy)
• Weis Markets Inc (Weis Pharmacy)
• Renu Weiss, MD
• David C Weksberg, MD
• Welcoming Connections, LLC
• Melissa B Weldon, BA
• Dennika L Weller, P.T.

• Clinical Social Worker in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.