Shannon Kelly
NPI 1275296311 · Clinical Social Worker · Dallas, TX
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Kelly is a Clinical Social Worker provider in Dallas, TX (NPI 1275296311).
Provider details
- NPI number
- 1275296311
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6801115932 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
4 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
Additional practice locations (1)
- 3111 Electric AvePort Huron, MI 48060-8127Phone: (810) 966-3528
Registry dates
- Enumerated
- 2021-10-15
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Shannon Kelly's NPI number?
- Shannon Kelly's National Provider Identifier (NPI) is 1275296311, 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 Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Kelly located?
- Shannon Kelly's practice location on file with NPPES is 17490 Meandering Way Apt 1207, Dallas, TX 75252-6150.
- What is Shannon Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelly is (830) 928-1088.
- Does Shannon Kelly accept Medicare?
- Shannon Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Kelly's NPI active?
- Yes — Shannon Kelly's NPI (1275296311) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.