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KATIE SHANNON LICSW LLC NPI 1265091235


NPI Information

NPI: 1265091235
Provider Name: KATIE SHANNON LICSW LLC

Doing Business As: CONNECT US THERAPY

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

CLIA Number: 35D2246303

Address:
2224 1ST AVE W STE 4
WILLISTON, ND
ZIP 58801
Phone: (701) 572-3335
Get Directions

KATIE SHANNON LICSW LLC is a clinical social worker in Williston, ND. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. KATIE SHANNON LICSW LLC NPI is 1265091235. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Connect Us Therapy.

The provider's business location address is:

2224 1ST AVE W STE 4
WILLISTON, ND
ZIP 58801-286
Phone: (701) 572-3335
Fax: (701) 572-3337

The provider's authorized official is Katie Brianne Shannon .
The authorized official title is Owner and has the following contact phone number (701) 572-3335.

The CLIA number assigned to this NPI record is 35D2246303 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2019 and was last updated on 12/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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