Katie Shannon Licsw LLC
NPI 1265091235ActiveOrganization· Social Worker, Clinical· Williston, ND
Social Worker, Clinical in Williston, North Dakota, registered in NPPES in June 2019. The authorized official on file is Katie Brianne Shannon, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265091235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 12, 2019 |
| Last updated in NPPES | Dec 23, 2021 |
| Certified by provider | Dec 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (ND) |
|---|
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