Individual provider Active NPI

Shannon Sinclair, LCSW

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1932681483
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6171451-3501 Issued in UT
Practice address
491 E Riverside Dr Ste 1B
St George, UT 84790-7053
Phone
(435) 301-8969
NPI assigned
Aug 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6171451-3501 UT Primary
Clinical Social Worker 1041C0700X 1617451-3502 UT

Addresses

Primary practice location

491 E Riverside Dr Ste 1B
St George, UT 84790-7053

Mailing address

3037 E Lavatera Dr
Saint George, UT 84790-2188
Phone (435) 229-5205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20240313003398 UT Practitioner - Clinical Social Worker 0042656993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Counseling Center LLCGroup PAC ID 8123478211, 6 clinicians

Practice addresses (Care Compare)

55 N 200
Suite 2
St George, UT 84770-1303
Phone (435) 301-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1617451-3502UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
M.E.N.D. Counseling Center, L.L.C. CurrentSince Feb 6, 2024 Accepting new patients

Locations

55 N 200 W
Ste 2
St George, UT 84770
Phone (435) 301-8969

491 E Riverside Dr
Ste 1B
St George, UT 84790
Phone (435) 301-8969

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1932681483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 E LAVATERA DR",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847902188",
            "telephone_number": "435-229-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E RIVERSIDE DR STE 1B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907053",
            "telephone_number": "435-301-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "6171451-3501",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1617451-3502",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.