SHANNON WILLIS NPI 1417291816

NPI Information

  • NPI: 1417291816
  • Provider Name: SHANNON WILLIS
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 9702 STONESTREET RD
    STE. 110
    LOUISVILLE, KY
    ZIP 40272
  • Phone: (502) 589-8600

Map and Directions

Get Directions

NPI Details

Shannon Willis is a social worker in Louisville, KY. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Shannon Willis NPI is 1417291816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9702 STONESTREET RD
STE. 110
LOUISVILLE, KY
ZIP 40272-808
Phone: (502) 589-8600
Fax: (502) 589-8771

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/26/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker4675KENTUCKYYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI