Active NPI
Shannon Jean Kaib, LCSW
- Clinical Social Worker
- Mars, PA
National Provider Identifier
1962748004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017501
- Practice address
- 162 Brickyard Rd
Suite 100
Mars, PA 16046-3067 - Phone
- (724) 332-3299
- NPI assigned
- Dec 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017501 | PA | Primary |
Addresses
Primary practice location
162 Brickyard Rd
Suite 100
Mars, PA 16046-3067
Mailing address
115B Whitetail LN
Butler, PA 16001-0267
Phone (724) 332-3299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW017501 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1962748004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115B WHITETAIL LN",
"city": "BUTLER",
"state": "PA",
"postal_code": "160010267",
"telephone_number": "724-332-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BRICKYARD RD",
"address_2": "SUITE 100",
"city": "MARS",
"state": "PA",
"postal_code": "160463067",
"telephone_number": "724-332-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIB",
"first_name": "SHANNON",
"middle_name": "JEAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-18",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mars, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.