ISMELY SHANNON LCSW
NPI 1154640381
Social Worker - Clinical in Bradenton, FL
NPI Status: Active since May 27, 2010
Contact Information
379 6TH AVE W
BRADENTON, FL
ZIP 34205
Phone: (941) 782-4100
Fax: (941) 782-4101
- Individual
- Female
- Social Worker
- Clinical
- Accepts Insurance
- PECOS Enrolled
About ISMELY SHANNON
This page provides the complete NPI Profile along with additional information for Ismely Shannon, a provider established in Bradenton, Florida with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1154640381 assigned on May 2010. The practitioner's primary taxonomy code is 1041C0700X with license number SW12247 (FL). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1154640381
- Provider Name
- ISMELY SHANNON LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 379 6TH AVE W BRADENTON, FL 34205
- Location Phone
- (941) 782-4100
- Location Fax
- (941) 782-4101
- Mailing Address
- PO BOX 9478 BRADENTON, FL 34206
- Mailing Phone
- (941) 782-4299
- Mailing Fax
- (941) 782-4101
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-27-2010
- Last Update Date
- 10-17-2014
- Code Navigator
A clinical social worker like Ismely Shannon is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- SW12247
- License State
- FL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Catastrophic 9200 (+ Incentives) - HMO
- Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard - HMO
- Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ismely Shannon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 34205 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is NA
- Average New Patient Price $0
- Minimum New Patient Price $56
- Maximum New Patient Price $171.84
- Average New Patient Copayment $0
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.96
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $70.04
- Minimum Established Patient Price $17.57
- Maximum Established Patient Price $139.16
- Average Established Patient Copayment $17.51
- Minimum Established Patient Copayment $4.39
- Maximum Established Patient Copayment $34.79
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 6 | 4 | 0 | 3 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 12 | 4 | 0 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 1 + 2 + 4 + 0 + 3 + 1 + 6 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1154640381 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811982531 | THOMAS J LUSTBERG MD FACS Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4259 |
| 1275528994 | ILONA DALE REUTER ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4259 |
| 1801882022 | LUIS C GUTIERREZ MD Individual | Psychiatry & Neurology (Psychiatry) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4259 |
| 1023090263 | MS. LORRAINE ANN EMMER LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
| 1952384182 | MRS. DENISE TROILO STRACENER LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 748-4100 |
| 1033192000 | MS. KAREN BERNER ARCURI LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4221 |
| 1609859396 | AMY M LEE M.A., LMHC, NBCC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4200 |
| 1013991280 | MR. NESTOR LEVESQUE LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4150 |
| 1417934936 | MS. TARI ANN ALLAN L.M.H.C. Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4361 |
| 1225015423 | MS. LINDA SUSAN CARNEY LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
| 1598742884 | MRS. ANN LOUISE BURKE LCSW Individual | Social Worker (Clinical) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4225 |
| 1922086776 | MRS. MELANIE DAWN TEVES BELL M.ED, ED.S., LMFT Individual | Marriage & Family Therapist | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4211 |
| 1952381998 | MRS. BARBARA ANGELA MORELLI L.M.H.C. Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4286 |
| 1043290943 | MS. TINA LYNNE GILLILAND LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
| 1619944717 | MRS. MARZENA MURPHY MA Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4188 |
| 1366402554 | KIMBERLY STROUD MA, PMH Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4126 |
| 1518916600 | HOLLEEN A BURCENSKI ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4299 |
| 1518900448 | KATRINA MAREE TRUBILLA LCSW Individual | Social Worker (Clinical) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
| 1831275833 | DAVID LOUIS KAUS LMHC Individual | Counselor (Mental Health) | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
| 1295808897 | MR. THOMAS JAMES QUIGLEY JR. Individual | Case Manager/Care Coordinator | 379 6TH AVE W BRADENTON, FL 34205 (941) 782-4100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154640381, enumerated in the NPI registry as an "individual" on May 27, 2010
The provider is located at 379 6th Ave W Bradenton, Fl 34205 and the phone number is (941) 782-4100
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $70.04 and an average copayment of 17.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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