Individual provider Active NPI

Shannon L Harris, LCSW

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1841774502
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09923316 Issued in CO
Practice address
150 E 29TH St Ste 215
Loveland, CO 80538-2765
Phone
(970) 669-5158
NPI assigned
Sep 19, 2018
Last updated
Mar 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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 CSW.09923316 CO Primary

Addresses

Primary practice location

150 E 29TH St Ste 215
Loveland, CO 80538-2765

Mailing address

5095 Georgetown Dr
Loveland, CO 80538-6808
Phone (307) 331-2862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181023001163 CO Practitioner - Clinical Social Worker 0648523548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 E 29TH St
Suite 215
Loveland, CO 80538-2765
Phone (970) 699-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Air Counseling and Grief Therapy LLC CurrentSince May 29, 2023 Accepting new patients
Creative Healing Center Clinical CurrentSince Nov 1, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 12, 2022 Accepting new patients
Grateful Way Clinical PastSince Sep 4, 2022 Accepting new patients

Locations

1001 E Harmony Rd
#A14
Fort Collins, CO 80525

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

150 E 29th St
Ste 215
Loveland, CO 80538
Phone (970) 342-5440

8010 S County Road 5
Unit 103
Windsor, CO 80528
Phone (970) 342-5440

Organizations & group practices 4

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1841774502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 GEORGETOWN DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805386808",
            "telephone_number": "307-331-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 29TH ST STE 215",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382765",
            "telephone_number": "970-669-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.