Shannon Diane Chrisman, CSWA

Primary specialty

Social WorkerTaxonomy code 104100000X

License

A15689 Issued in OR

Practice address

311 SE Dorion Ave
Pendleton, OR 97801-2529

Phone

(541) 272-1606

NPI assigned

Mar 23, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shannon Diane Rilatos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1992643696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SE DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012529",
            "telephone_number": "541-272-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SE DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012529",
            "telephone_number": "541-272-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "SHANNON",
        "middle_name": "DIANE",
        "credential": "CSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A15689",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "A15689",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A15689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "RILATOS",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theodore Phillip Chase, PMHNP
• Kateara C Chavez, CRM
• CHI National Home Care
• CHI National Home Care
• Chris Humphreys LLC
• Cody M Cimmiyotti
• City of Pendleton
• Jessica Clark
• Katie A Clark
• Robert Marc Clark, LCSW LICENSED CLINIC

• Social Worker in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.