Shanna Leah Scott-Klunk, MSW, LCSW, ACS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019004 Issued in PA

Practice address

514 E Main St
Ephrata, PA 17522-2508

Phone

(717) 721-1752

Fax

(717) 674-7428

NPI assigned

May 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shanna Leah Scott Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

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.

• Thoughtful Wellness, LLC

  • Clinical Social Worker
  • Ephrata, PA
  • NPI 1447789581
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1972770717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222508",
            "telephone_number": "717-721-1752",
            "fax_number": "717-674-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222508",
            "telephone_number": "717-721-1752",
            "fax_number": "717-674-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-KLUNK",
        "first_name": "SHANNA",
        "middle_name": "LEAH",
        "credential": "MSW, LCSW, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-12",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100775933",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "SCOTT",
            "middle_name": "LEAH",
            "credential": "MSW, LSW, ACS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elsy Lucia Santizo Deleon, M.D.
• Mary Ann Sarker, M.D.
• Holly R Saylor, COTA
• Marshall Scherer, PAC
• Lindsey Schneider
• Jeffry Zane Scott, DDS
• Jack Sees, MD
• Anoop B Shah, MD
• Andrea Marie Shanafelt, MSPT
• John Shand, MD

• Clinical Social Worker in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.