SHANNON REBECCA LOCKE – Social Worker, NPI 1093370082

SHANNON REBECCA LOCKE is a healthcare provider. based in Shelbyville, Tennessee. specializing in CLINICAL SOCIAL WORKER. The NPI Number for SHANNON REBECCA LOCKE is 1093370082

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON REBECCA LOCKE
NPI
1093370082
Phone
Not provided
Address
604 S WALL ST
Enumeration Date
5 May 2019
Last Update Date
5 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9314884014
Graduation Year
2017 (9 years ago)
PAC ID
6406206374
Group Practice PAC ID
0446671440
Professional Enrollment ID
I20231219002680
Address ID
TN371607448SH2839XNXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

829 CLINICAL SOCIAL WORKER in TN

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Provider Addresses for SHANNON REBECCA LOCKE

  • Wall Street, Shelbyville, Bedford County, Tennessee, 37160, United States

    SHELBYVILLE, TN 371603797

    Phone:

    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: 2023-12-19

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
I20231219002680IClinical Social WorkerTNTBD

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 37160)

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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: 0446671440View full group profile
NameSpecialtyState
-TN
Mental Health CounselorOH
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineTN
Internal MedicineIN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Family PracticeNC

Reviews

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Frequently asked questions

What NPI should I save for SHANNON REBECCA LOCKE?
Save NPI 1093370082 if you need a stable reference for SHANNON REBECCA LOCKE.
Is SHANNON REBECCA LOCKE active in the national directory?
SHANNON REBECCA LOCKE's public NPI profile is in an active state.
What kind of provider is SHANNON REBECCA LOCKE?
The page reflects Social Worker for SHANNON REBECCA LOCKE. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON REBECCA LOCKE?
The page summarizes Shelbyville, Tennessee for SHANNON REBECCA LOCKE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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