SHANNON VAVRUSA LCSW
NPI 1285446708
Social Worker - Clinical in Antioch, IL

NPI Status: Active since January 22, 2025

Contact Information

311 W DEPOT ST
ANTIOCH, IL
ZIP 60002
Phone: (331) 725-1190

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  • Individual
  • Female
  • Social Worker
  • Clinical

About SHANNON VAVRUSA

This page provides the complete NPI Profile along with additional information for Shannon Vavrusa, a provider established in Antioch, Illinois with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1285446708 assigned on January 2025. The practitioner's primary taxonomy code is 1041C0700X with license number 149.028640 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1285446708
Provider Name
SHANNON VAVRUSA LCSW
Gender
Female
Entity Type
Individual
Location Address
311 W DEPOT ST ANTIOCH, IL 60002
Location Phone
(331) 725-1190
Mailing Address
W145 LILAC AVE GENOA CITY, WI 53128
Mailing Phone
(847) 217-7811
Is Sole Proprietor?
Yes
Enumeration Date
01-22-2025
Last Update Date
01-22-2025
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A clinical social worker like Shannon Vavrusa 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.

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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.
149.028640
License State
IL
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.

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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.
1285446708
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165841270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 8 + 4 + 1 + 2 + 7 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1285446708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639394893HOPE'S PLAYGROUND PEDIATRIC THERAPY, INC.
Organization
Occupational Therapist (Pediatrics)311 W DEPOT ST SUITE F
ANTIOCH, IL 60002
(847) 838-8085
1639377252MISS HEATHER LYNN MORNINGSTAR MOT, OTRL
Individual
Occupational Therapist (Pediatrics)311 W DEPOT ST SUITE F
ANTIOCH, IL 60002
(847) 838-8085
1366642316 VALERI GALLOWAY MOT,OTR/L
Individual
Occupational Therapist (Pediatrics)311 W DEPOT ST SUITE F
ANTIOCH, IL 60002
(847) 838-8085
1538369582 KIMBERLY HENRICHS
Individual
Speech-Language Pathologist311 W DEPOT ST SUITE F
ANTIOCH, IL 60002
(847) 838-8085
1407046527 KIRSTEN DEACETIS MPH, CCC, SLP/L
Individual
Speech-Language Pathologist311 W DEPOT ST SUITE F
ANTIOCH, IL 60002
(847) 838-8085
1790923530MRS. ABIGAIL A WATERS COTA/L
Individual
Occupational Therapy Assistant311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1861624363 AMY LIS DANGEL OTR/L
Individual
Occupational Therapist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1710203740 GINA ANN HALDEMAN PT, DPT
Individual
Physical Therapist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1417246638 NIKOLE LOSCH DPT
Individual
Physical Therapist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1801169800 ALEXANDRA J DOLLINGER M.A., CCC, SLP/L
Individual
Speech-Language Pathologist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1154757961 KELLEY SEMENS MOT, OTR/L
Individual
Occupational Therapist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1215306907 KATHRIN LUKOWICZ
Individual
Speech-Language Pathologist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1215308457HOPE'S PLAYGROUND PEDIATRIC THERAPY, INC.
Organization
Speech-Language Pathologist311 W DEPOT ST SUITE N
ANTIOCH, IL 60002
(847) 838-8085
1346330842FRESENIUS MEDICAL CARE OF ILLINOIS, LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)311 W DEPOT ST
ANTIOCH, IL 60002
(847) 395-5854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285446708, enumerated in the NPI registry as an "individual" on January 22, 2025

The provider is located at 311 W Depot St Antioch, Il 60002 and the phone number is (331) 725-1190

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on January 22, 2025. 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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