What is Shannon Kelly's NPI number?

Shannon Kelly's National Provider Identifier (NPI) is 1043957095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Kelly's specialty?

Shannon Kelly is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).

Where is Shannon Kelly located?

Shannon Kelly's practice location on file with NPPES is 650 S Center St, Beaver Dam, WI 53916-2804.

What is Shannon Kelly's phone number?

The practice phone number listed in the NPPES registry for Shannon Kelly is (920) 212-7820.

Is Shannon Kelly's NPI active?

Yes — Shannon Kelly's NPI (1043957095) is active in the NPPES registry as of the last update on 2022-05-19.

IndividualActive

Shannon Kelly, MSW

NPI 1043957095 · Social Worker · Beaver Dam, WI

Shannon Kelly, MSW is a Social Worker provider in Beaver Dam, WI (NPI 1043957095).

Provider details

NPI number: 1043957095
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: MSW
Sex: Female
Sole proprietor: No
License: MSW (WI)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense MSW (WI)
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

650 S Center St

Beaver Dam, WI 53916-2804

Phone: (920) 212-7820

Fax: (608) 720-1719

Street-level locationGet directions

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Mailing address