Shannon Colburn-Blinn, LCSW
NPI 1053766782ActiveIndividual· Social Worker, Clinical· Fort Wayne, IN
Social Worker, Clinical (LCSW) in Fort Wayne, Indiana, licensed in IN, with an NPI issued in May 2016. Medicare paid $23,980 for services to 12 patients in 2024.
Overview
| NPI | 1053766782 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | Yes |
| NPI issued | May 2, 2016 |
| Last updated in NPPES | Jun 1, 2021 |
| Certified by provider | Jun 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 34007964A | IN |
| Social Worker | 104100000X | 33007280A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 294 across 3 procedure codes |
| Paid by Medicare | $23,980 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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