Kathleen Marie Shannon, LISW
Social Worker · Boardman, OH
Kathleen Marie Shannon, LISW is a social worker with a practice address in Boardman, Ohio, and NPI 1225137219, issued on Sep 22, 2006. Check the license (Ohio I.0003968-SUPV, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kathleen Marie Shannon
- Credential
- LISW
- Primary taxonomy
- Social Worker 104100000X
- License numbers
- I.0003968-SUPV OH
I0003968 OH
Self-reported in NPPES; status is on the state search - Practice location
- 930 Trailwood Dr, Boardman, OH 44512
- Phone
- (513) 834-7063
- Enumerated
- Sep 22, 2006
- Record last updated
- Sep 3, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (513) 873-1567
- Medicare enrollment
- Enrolled (PECOS I20091202000260); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest social worker records → All 11,239 in Ohio → Look up another NPI →
Also registered at 930 Trailwood Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Dawn Curl, LCDCIIAddiction (Substance Use Disorder) Counselor1821681248
- Tammy Dechellis, RNRegistered Nurse1144829011
- Tyler Ericsson, LSWSocial Worker1841782794
- Michelle Evans, CNPAdult Health Nurse Practitioner1265772347
- Taylor Headley, LPNLicensed Practical Nurse1548095102
- Timothy Herron, CDCAAddiction (Substance Use Disorder) Counselor1700492196
Verify Kathleen Marie Shannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license I.0003968-SUPVCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Aspire Mental Health LLCEast Liverpool, OH
- Rajendra P Koirala, M.D., LLCBoardman, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kathleen Marie Shannon among 11,239 social worker records in Ohio
Kathleen Marie Shannon, LISW is one of 11,239 social worker records with a practice address in Ohio. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than under 1% of them.
- NPI issued2006 · under 1% of these records are older, 97% newer
- In a Medicare fileYes · 3% of these records are
- In the CMS Doctors and Clinicians fileYes · 4% of these records are
- Graduated1983 · median 2015 among the 498 with a school on file
- Record last updated2020 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 104100000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
17 social worker records list a practice address in Boardman
They are 17 of the 1,130 NPPES records with a practice address in Boardman, and 11,239 social worker records in Ohio.
All 11,239 in Ohio → Every provider in Boardman → Social Worker nationwide →
The 8 social worker records with the nearest ZIP codes
- Charles Boris, LISWBoardman, OH 445121871684589
- Gale Colapietro, LSWBoardman, OH 445121952482911
- Angie DenicholasBoardman, OH 445121265910855
- Tyler Ericsson, LSWBoardman, OH 445121841782794
- Kori GearyYoungstown, OH 445121194210955
- Jana Kanos, MSWBoardman, OH 445121275972358
- Scott Marlin, MA, LSWBoardman, OH 445121598727182
- Tara McCarrel, LSWBoardman, OH 445121386169852
Common questions
What is Kathleen Marie Shannon, LISW's NPI number?
Kathleen Marie Shannon, LISW's National Provider Identifier (NPI) is 1225137219, issued on Sep 22, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Marie Shannon, LISW located?
The NPPES record lists a practice address at 930 Trailwood Dr, Boardman, OH, 44512. Phone: (513) 834-7063. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Marie Shannon, LISW's license?
NPPES lists Ohio license number I.0003968-SUPV, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.