Individual provider Active NPI

Shannon Joann Cantillano, LCSW

  • Clinical Social Worker
  • Atascadero, CA
National Provider Identifier
1780811364
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
28917 Issued in CA
Practice address
9700 El Camino Real Ste 200
Atascadero, CA 93422-5579
Phone
(805) 471-6545
Fax
(805) 468-4290
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 28917 CA Primary

Addresses

Primary practice location

9700 El Camino Real Ste 200
Atascadero, CA 93422-5579

Mailing address

7343 El Camino Real Ste 226
Atascadero, CA 93422-4697
Phone (805) 471-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20131230000795 CA Practitioner - Clinical Social Worker 8729215470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

793 Higuera St
Suite 5
San Luis Obispo, CA 93401-3571
Phone (805) 471-6545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28917CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Cantillano Licensed Clinical Social Worker Inc Dba Inner Expansions Therapy Services Clinical CurrentSince Jan 13, 2023 Accepting new patients

Locations

9700 El Camino Real
Ste 303
Atascadero, CA 93422
Phone (805) 250-6505

9700 El Camino Real
Ste 200
Atascadero, CA 93422
Phone (805) 460-7300

7343 El Camino Real
Atascadero, CA 93422
Phone (954) 540-1840

793 Higuera St
Ste 5
San Luis Obispo, CA 93401
Phone (805) 471-6545

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1780811364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 EL CAMINO REAL STE 226",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224697",
            "telephone_number": "805-471-6545",
            "fax_number": "805-468-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 200",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225579",
            "telephone_number": "805-471-6545",
            "fax_number": "805-468-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTILLANO",
        "first_name": "SHANNON",
        "middle_name": "JOANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "28917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.