What is Nicole Shannon's NPI number?

Nicole Shannon's National Provider Identifier (NPI) is 1083747588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Nicole Shannon's specialty?

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

Where is Nicole Shannon located?

Nicole Shannon's practice location on file with NPPES is 1605 Hope St, South Pasadena, CA 91030-2628.

What is Nicole Shannon's phone number?

The practice phone number listed in the NPPES registry for Nicole Shannon is (626) 644-4355.

Is Nicole Shannon's NPI active?

Yes — Nicole Shannon's NPI (1083747588) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Nicole Shannon, LCSW

NPI 1083747588 · Social Worker · South Pasadena, CA

Nicole Shannon, LCSW is a Social Worker provider in South Pasadena, CA (NPI 1083747588).

Provider details

NPI number: 1083747588
Entity type: Individual
Primary specialty: Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Female
Sole proprietor: Yes
License: LCS21044 (CA)

Specialties & taxonomies

Social WorkerPrimary104100000XLicense LCS21044 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(89/100 index)

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

Registry tenure38% of score
19 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

1605 Hope St

#305

South Pasadena, CA 91030-2628

Phone: (626) 644-4355

Street-level locationGet directions

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Mailing address