Active NPI
Shannon Leigh Sundry, LSW, MSW
- Social Worker
- Columbus, OH
National Provider Identifier
1821578238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1701357
- Practice address
- 130 Northwoods Blvd Ste a
Columbus, OH 43235-7473 - Phone
- (614) 706-2228
- NPI assigned
- Aug 15, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701357 | OH | Primary |
Addresses
Primary practice location
130 Northwoods Blvd Ste a
Columbus, OH 43235-7473
Mailing address
75 East Wilson Bridge Rd
Suite C6 Office 2
Worthington, OH 43085
Phone (614) 371-3934
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701357 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1821578238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 EAST WILSON BRIDGE RD",
"address_2": "SUITE C6 OFFICE 2",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "43085",
"telephone_number": "614-371-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 NORTHWOODS BLVD STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432357473",
"telephone_number": "614-706-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUNDRY",
"first_name": "SHANNON",
"middle_name": "LEIGH",
"credential": "LSW, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.