NANCY SHANNON (LSW) – Social Worker, NPI 1063406387

NANCY SHANNON (LSW) is a healthcare provider. based in Cincinnati, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. I0004427 (OH). The NPI Number for NANCY SHANNON (LSW) is 1063406387

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
NANCY SHANNON (LSW)
NPI
1063406387
Phone
(800) 594-1876
Address
PO BOX 633762
Enumeration Date
1 September 2005
Last Update Date
19 March 2009

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
8325173081
Professional Enrollment ID
I20100319000266
Address ID
OH435671735WA735XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for NANCY SHANNON (LSW)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452633762

    Phone: (800) 594-1876

    Type: Mailing

  • Promedica Defiance Regional Hospital, 1200, Ralston Avenue, Williamstown, Defiance, Defiance County, Ohio, 43512, United States

    DEFIANCE, OH 435121396

    Phone: (419) 783-6955

    Type: Location

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: 2010-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (920 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20100319000266IClinical Social WorkerOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes7220$0
90837Psychotherapy, 1 hour5015$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Reviews

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Frequently asked questions

What unique ID ties claims to NANCY SHANNON (LSW)?
NPI 1063406387 is assigned to NANCY SHANNON (LSW) under the national enumeration system.
Is NANCY SHANNON (LSW) active in the national directory?
NANCY SHANNON (LSW)'s public NPI profile is in an active state.
What does NANCY SHANNON (LSW) treat or focus on?
Patients typically see NANCY SHANNON (LSW) under the specialty Social Worker. Clinical services aligned with this taxonomy classification.
Where is NANCY SHANNON (LSW)'s primary listing?
We display Cincinnati, Ohio because that is what the record indicates for NANCY SHANNON (LSW).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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