Shannon M Brice, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7379-123 Issued in WI

Practice address

250 S Washington St
Saint Croix Falls, WI 54024-4405

Phone

(715) 246-4840

Fax

(715) 254-9459

NPI assigned

Apr 10, 2007

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Therapy Associates LLCGroup PAC ID 5395273536, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Therapy Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Richmond, WI
  • NPI 1215239736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1871716787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244405",
            "telephone_number": "715-246-4840",
            "fax_number": "715-254-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S WASHINGTON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540244405",
            "telephone_number": "715-246-4840",
            "fax_number": "715-254-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "SHANNON",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7379-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN HMC INSURANCE",
            "identifier": "372794",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40938900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Melodee Bont, MS, MFT
• Steven Scott Bont, DC
• Mark E. Boyken, M.D.
• Breathe and Thrive, LLC
• Tammy Breault
• Megan Brothen, DPT
• Wanda F Brown, N.P.
• Jeanine L Brunclik, M.D.
• Dana Marie Burcar, PA-C
• Karly Elizabeth Canney, DDS

• Clinical Social Worker in Saint Croix Falls, WI
• Providers in Saint Croix Falls, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.