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Shannon Willis
NPI 1417291816 · Social Worker · Louisville, KY
Shannon Willis is a Social Worker provider in Louisville, KY (NPI 1417291816).
Provider details
- NPI number
- 1417291816
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4675 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
9702 Stonestreet Rd
Ste. 110
Louisville, KY 40272-6808
Phone: (502) 589-8600
Fax: (502) 589-8771
Street-level locationGet directions
Mailing address
101 W Muhammad Ali Blvd
Louisville, KY 40202-1423
Registry dates
- Enumerated
- 2012-11-26
- Last updated
- 2012-11-26
Frequently asked questions
- What is Shannon Willis's NPI number?
- Shannon Willis's National Provider Identifier (NPI) is 1417291816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Willis's specialty?
- Shannon Willis is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Shannon Willis located?
- Shannon Willis's practice location on file with NPPES is 9702 Stonestreet Rd, Louisville, KY 40272-6808.
- What is Shannon Willis's phone number?
- The practice phone number listed in the NPPES registry for Shannon Willis is (502) 589-8600.
- Is Shannon Willis's NPI active?
- Yes — Shannon Willis's NPI (1417291816) is active in the NPPES registry as of the last update on 2012-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.