Active NPI
Shannon H McKee, MSW
- Clinical Social Worker
- Silverdale, WA
National Provider Identifier
1770539686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00008740
- Practice address
- 10049 Kitsap Mall Blvd NW
Suite 203
Silverdale, WA 98383-8903 - Phone
- (360) 307-8700
- Fax
- (360) 692-6458
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00008740 | WA | Primary |
Addresses
Primary practice location
10049 Kitsap Mall Blvd NW
Suite 203
Silverdale, WA 98383-8903
Mailing address
10049 Kitsap Mall Blvd NW
Suite 203
Silverdale, WA 98383-8903
Phone (360) 307-8700
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Counseling Clinic, Inc. | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Silverdale, WA
- NPI 1316037302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1770539686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW",
"address_2": "SUITE 203",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838903",
"telephone_number": "360-307-8700",
"fax_number": "360-692-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10049 KITSAP MALL BLVD NW",
"address_2": "SUITE 203",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838903",
"telephone_number": "360-307-8700",
"fax_number": "360-692-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "SHANNON",
"middle_name": "H",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00008740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.