Individual provider Active NPI

Janelle Shannon, LCSW

  • Social Worker
  • Warwick, RI
National Provider Identifier
1811388283
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
CSW01680 Issued in RI
Practice address
469 Centerville Rd Ste 105
Warwick, RI 02886-4356
Phone
(401) 773-3700
Fax
(401) 773-3701
NPI assigned
Feb 6, 2015
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CSW01680 RI Primary

Addresses

Primary practice location

469 Centerville Rd Ste 105
Warwick, RI 02886-4356

Mailing address

14 Harrington Rd
Foster, RI 02825-1217
Phone (401) 489-8012

Other practice location 1

14 Harrington Rd
Foster, RI 02825-1217
Phone (401) 489-8012

Other practice location 2

179 Highland Ave # 1039
Seekonk, MA 02771-5828
Phone (401) 773-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150320001527 RI Practitioner - Clinical Social Worker 3577880053 Reassigns benefits to 2 organizations
I20250114002197 MA Practitioner - Clinical Social Worker 3577880053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Harrington Rd
Foster, RI 02825-1217
Phone (866) 646-6804

600 S St W
Suite 4F
Raynham, MA 02767-5171
Phone (866) 646-6804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSW01680RIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Behavioral Health, LLC CurrentSince Aug 5, 2024 Accepting new patients
Granite Brook Farm Inc. CurrentSince Jan 11, 2025 Accepting new patients

Locations

600 South St W
Ste 4F
Raynham, MA 02767
Phone (508) 322-1180

179 Highland Ave
#1039
Seekonk, MA 02771
Phone (401) 773-3700

469 Centerville Rd
Ste 105
Warwick, RI 02886
Phone (401) 738-9200

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1811388283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HARRINGTON RD",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251217",
            "telephone_number": "401-489-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 CENTERVILLE RD STE 105",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864356",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Harrington Rd",
            "address_purpose": "LOCATION",
            "city": "Foster",
            "state": "RI",
            "postal_code": "028251217",
            "country_code": "US",
            "telephone_number": "401-489-8012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "179 Highland Ave # 1039",
            "address_purpose": "LOCATION",
            "city": "Seekonk",
            "state": "MA",
            "postal_code": "027715828",
            "country_code": "US",
            "telephone_number": "401-773-3700",
            "fax_number": "401-773-3701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "JANELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "RI",
            "license": "CSW01680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.