Shannon Kish McElroy, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3819C Issued in AL

Practice address

810 Regal Dr SW Ste B
Huntsville, AL 35801

Phone

(256) 202-4861

NPI assigned

May 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mended Being Counseling, LLC

  • Clinical Social Worker
  • Huntsville, AL
  • NPI 1710610720
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1902007032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 TELSTAR CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358055622",
            "telephone_number": "256-202-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 REGAL DR SW STE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-202-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 Drake Ave SW Ste 10D",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358055192",
            "country_code": "US",
            "telephone_number": "256-203-6542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "SHANNON",
        "middle_name": "KISH",
        "credential": "LICSW, PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3819C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Chandler McDonald, DMD
• William David McDonald, PHD
• Daniel G McDonough, MD
• Kyle McDonough, DO
• Anna Kathryn McDowell, NP
• Britney Roselynn McEwen
• Michael D McFadden, M.D.
• Randall McFarland III, MSW
• William J McFeely Jr., M.D.
• Corrina Dawn McFerran

• Clinical Social Worker in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.

Verify at the official NPI Registry.