Organization Active NPI

Shannon'S Social Work Services, LLC

  • Social Worker
  • Boca Raton, FL
National Provider Identifier
1942557707
Registry record updated Aug 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW9726 Issued in FL
Legal business name
SHANNON'S SOCIAL WORK SERVICES, LLC
Practice address
9395 Lake Serena Dr
Boca Raton, FL 33496-6509
Phone
(954) 296-4120
NPI assigned
Aug 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2012

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

Authorized official

Name
Shannon L Thill, LCSWNPI 1063744092
Title
Ceo
Phone
(954) 296-4120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X SW9726 FL Primary

Addresses

Primary practice location

9395 Lake Serena Dr
Boca Raton, FL 33496-6509

Mailing address

9395 Lake Serena Dr
Boca Raton, FL 33496-6509
Phone (954) 296-4120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344729600000",
    "number": "1942557707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9395 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966509",
            "telephone_number": "954-296-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 LAKE SERENA DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334966509",
            "telephone_number": "954-296-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON'S SOCIAL WORK SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-12",
        "last_updated": "2012-08-12",
        "status": "A",
        "authorized_official_last_name": "THILL",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-296-4120",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW9726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; 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.