Active NPI
Shannon James LLC
- Community/Behavioral Health Agency
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHANNON JAMES LLC
- Practice address
- 9730 W Bluemound Rd Ste 11
Wauwatosa, WI 53226-4455 - Phone
- (414) 336-0525
- Fax
- (414) 930-2986
- NPI assigned
- Jul 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon James, LCSW
- Title
- Owner
- Phone
- (414) 336-0525
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9730 W Bluemound Rd Ste 11
Wauwatosa, WI 53226-4455
Mailing address
918 E North Ave
Milwaukee, WI 53212-3448
Phone (414) 336-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10004541 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shannon@smjameslcsw.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Shannon James LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Social Worker
- Milwaukee, WI
- NPI 1275182172
Locations
9730 W Bluemound Rd
Ste 11
Wauwatosa, WI 53226
Phone (414) 336-0525
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Wauwatosa, WI
- NPI 1174038954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595203200000",
"number": "1982212551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "918 E NORTH AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532123448",
"telephone_number": "414-336-0525",
"fax_number": "414-930-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 W BLUEMOUND RD STE 11",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532264455",
"telephone_number": "414-336-0525",
"fax_number": "414-930-2986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANNON JAMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-336-0525",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10004541",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shannon@smjameslcsw.com",
"affiliation": "N",
"endpointDescription": "LLC Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Gmail",
"address_1": "9730 W Bluemound Rd Ste 11",
"city": "Wauwatosa",
"state": "WI",
"country_code": "US",
"postal_code": "532264455",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.