SHANNON STEPHENS (LCSW) – Clinical Social Worker, NPI 1184464406

SHANNON STEPHENS (LCSW) is a healthcare provider. based in Davie, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW19533 (FL). The NPI Number for SHANNON STEPHENS (LCSW) is 1184464406

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON STEPHENS (LCSW)
NPI
1184464406
Phone
(954) 552-9149
Address
7173 ORANGE DR APT 111B
Enumeration Date
27 May 2024
Last Update Date
27 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7864146666
Graduation Year
2013 (13 years ago)
PAC ID
7719423649
Group Practice PAC ID
6406010834
Professional Enrollment ID
I20240726001975
Address ID
FL333172050PL221XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,376 CLINICAL SOCIAL WORKER in FL

Provider Addresses for SHANNON STEPHENS (LCSW)

  • 7173 ORANGE DR APT 111B

    DAVIE, FL 333143102

    Phone: (954) 552-9149

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240726001975IClinical Social WorkerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33314)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406010834View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Clinical Social WorkerFL
Mental Health CounselorFL
Clinical PsychologistFL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical Social WorkerFL
-FL
Marriage And Family TherapistFL
-FL

Reviews

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Frequently asked questions

How is SHANNON STEPHENS (LCSW) identified in CMS data?
CMS-hosted NPPES data lists SHANNON STEPHENS (LCSW) with NPI 1184464406.
Is SHANNON STEPHENS (LCSW) still practicing?
SHANNON STEPHENS (LCSW) is currently listed as active in the public NPI registry.
What taxonomy line describes SHANNON STEPHENS (LCSW)?
For research purposes, treat SHANNON STEPHENS (LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What area does SHANNON STEPHENS (LCSW) serve?
SHANNON STEPHENS (LCSW)'s listing highlights Davie, Florida; more addresses can appear in NPPES.
Why does SHANNON STEPHENS (LCSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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