Kaiya Shannon, LCSW
NPI 1790917987 · Clinical Social Worker · Fort Myers, FL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaiya Shannon, LCSW is a Clinical Social Worker provider in Fort Myers, FL (NPI 1790917987).
Provider details
- NPI number
- 1790917987
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- SW 9520 (FL)
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
16 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)
- 92 W Miller StOrlando, FL 32806-2032Phone: (321) 841-7116Fax: (321) 841-7116
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Frequently asked questions
- What is Kaiya Shannon's NPI number?
- Kaiya Shannon's National Provider Identifier (NPI) is 1790917987, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaiya Shannon's specialty?
- Kaiya Shannon is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Kaiya Shannon located?
- Kaiya Shannon's practice location on file with NPPES is 15901 Bass Rd Ste 108, Fort Myers, FL 33908-3838.
- What is Kaiya Shannon's phone number?
- The practice phone number listed in the NPPES registry for Kaiya Shannon is (239) 343-6050.
- Does Kaiya Shannon accept Medicare?
- Kaiya Shannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaiya Shannon's NPI active?
- Yes — Kaiya Shannon's NPI (1790917987) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.