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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN MARIE SHANNON, LISW

Active Sole Proprietor

KATHLEEN MARIE SHANNON, LISW is a Social Worker healthcare provider located in BOARDMAN, Ohio. NPI 1225137219 is currently active in the NPPES registry. Verify at CMS.

Social Worker · BOARDMAN, OH

Registration Details

NPI Number
1225137219
Provider Type
Individual
Gender
Female
NPI Issued
Sep 22, 2006 (19.899133683497 yrs)
Last Updated
Sep 3, 2020
Licenses
I.0003968-SUPV (OH)
I0003968 (OH)
Sole Proprietor
Yes

Practice Information

Address
930 TRAILWOOD DR
BOARDMAN, OH, 445125007
Browse OH providers · Browse ZIP 44512
Phone
5138347063
Fax
5138731567
Primary Specialty
Social Worker
104100000X
Additional Specialty
Social Worker

Other Social Worker Providers in BOARDMAN, OH

Name Credential NPI
MR. SCOTT ALAN MARLIN MA, LSW 1598727182
MR. CHARLES L BORIS LISW 1871684589
MS. GALE LYNN COLAPIETRO LSW 1952482911
MRS. JANA LEIGH KANOS MSW 1275972358
MATTHEW ALBERT MCCLELLAND LISW 1861871642
ERICA RUNYAN LSW 1861926180
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.