Shannon Garcia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9150-123 Issued in WI

Practice address

13400 S Route 59
Plainfield, IL 60585-5826

Phone

(815) 246-2075

NPI assigned

May 6, 2019

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• States of Wellness Counseling PLLC

  dba States of Wellness Counseling

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1184405623
  NPD Authorized official

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1972168862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S. ROUTE 59 SUITE 116 #177",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605852740",
            "telephone_number": "815-246-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855826",
            "telephone_number": "815-246-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SHANNON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-06",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022335",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9150-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yeldez Garces, PT
• Dennis T. Garcia, PT
• Gabriel Moses Garcia, LSW
• Mario Antonio Garcia, LCPC
• Mary Kaye Garcia, RPH
• John M Garlick, PSY. D.
• Katelyn Jan Gascich, M.A., CCC-SLP
• Jessica Gasiorowski, RN, FNP-C
• Kristina Regina Gaspers, PA-C
• Megan Elizabeth Gassel

• Clinical Social Worker in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.