Individual provider Active NPI

Shannon Stone Ripani, LCSW

  • Clinical Social Worker
  • Antioch, TN
National Provider Identifier
1912592148
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSW0000006391 Issued in TN
Practice address
3221 Country Lawn Dr
Antioch, TN 37013-1239
Phone
(317) 407-5813
NPI assigned
Mar 9, 2021
Last updated
Mar 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 LSW0000006391 TN Primary

Addresses

Primary practice location

3221 Country Lawn Dr
Antioch, TN 37013-1239

Mailing address

3221 Country Lawn Dr
Antioch, TN 37013-1239
Phone (317) 407-5813

Other names 1

  • Shannon Stone Ripani Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20260508002202 TN Practitioner - Clinical Social Worker 5294203170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2000 Glen Echo Rd
Suite 200
Nashville, TN 37215-2898

PO Box
Suite 22757
Chattanooga, TN 37422-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSW0000006391TNMDClinical Social Worker

Organizations & group practices 1

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1912592148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 COUNTRY LAWN DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131239",
            "telephone_number": "317-407-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 COUNTRY LAWN DR",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131239",
            "telephone_number": "317-407-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPANI",
        "first_name": "SHANNON",
        "middle_name": "STONE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW0000006391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "RIPANI",
            "middle_name": "STONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Antioch, TN

Sources for this page

Verify at the official NPI Registry.