Katie Shannon Licsw LLC
NPI 1265091235 · Clinical Social Worker · Williston, ND
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katie Shannon Licsw LLC is a Clinical Social Worker organization in Williston, ND (NPI 1265091235).
Provider details
- NPI number
- 1265091235
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Katie Shannon, Owner(701) 572-3335
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Connect US Therapy
Additional practice locations (1)
- 810 N Welo StTioga, ND 58852-7157Phone: (701) 572-3335Fax: (701) 572-3337
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2021-12-23
- Certified
- 2021-12-23
Frequently asked questions
- What is Katie Shannon Licsw LLC's NPI number?
- Katie Shannon Licsw LLC's National Provider Identifier (NPI) is 1265091235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Katie Shannon Licsw LLC?
- Katie Shannon Licsw LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Katie Shannon Licsw LLC located?
- Katie Shannon Licsw LLC's practice location on file with NPPES is 2224 1st Ave W Ste 4, Williston, ND 58801-6286.
- What is Katie Shannon Licsw LLC's phone number?
- The practice phone number listed in the NPPES registry for Katie Shannon Licsw LLC is (701) 572-3335.
- Does Katie Shannon Licsw LLC accept Medicare?
- Katie Shannon Licsw LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Katie Shannon Licsw LLC?
- The authorized official listed on Katie Shannon Licsw LLC's NPPES record is Katie Shannon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Katie Shannon Licsw LLC's NPI active?
- Yes — Katie Shannon Licsw LLC's NPI (1265091235) is active in the NPPES registry as of the last update on 2021-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.