SHANNON BRODERICK LMSW
NPI 1386096790
Social Worker in Lees Summit, MO

NPI Status: Active since July 09, 2016

Contact Information

529 SE 2ND ST STE D
LEES SUMMIT, MO
ZIP 64063
Phone: (816) 581-3737
Fax: (816) 581-3738

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  • Individual
  • Female
  • Social Worker

About SHANNON BRODERICK

This page provides the complete NPI Profile along with additional information for Shannon Broderick, a provider established in Lees Summit, Missouri with a medical specialization in Social Worker. The healthcare provider is registered in the NPI registry with number 1386096790 assigned on July 2016. The practitioner's primary taxonomy code is 104100000X with license number 2016027520 (MO). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1386096790
Provider Name
SHANNON BRODERICK LMSW
Other Name
SHANNON FLEETWOOD LMSW
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
529 SE 2ND ST STE D LEES SUMMIT, MO 64063
Location Phone
(816) 581-3737
Location Fax
(816) 581-3738
Mailing Address
529 SE 2ND ST STE D LEES SUMMIT, MO 64063
Mailing Phone
(816) 581-3737
Mailing Fax
(816) 581-3738
Is Sole Proprietor?
No
Enumeration Date
07-09-2016
Last Update Date
05-04-2017
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A social worker like Shannon Broderick helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

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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

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
2016027520
License State
MO
Taxonomy Description
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.

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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

10002 (KS)

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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.
1386096790
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231660912718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 6 + 6 + 0 + 9 + 1 + 2 + 7 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1386096790 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982129425MS. KATHERINE J HILLEN MA, PLPC, NCC
Individual
Counselor (Professional)529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1417442658MR. RICHARD CLEMENTE BAMBENEK
Individual
Counselor529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1447732193 MARIE COLLEEN CLIFTON LMSW
Individual
Social Worker529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1568011427 JADEN MARIE BRAY LMSW
Individual
Social Worker529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1588267397CORONA COUNSELING, LLC
Organization
Counselor (Professional)529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1790311983 BRIONNA RENEE' SMITH LMSW
Individual
Social Worker529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737
1730712274ANCHORED IN HEALING, LLC
Organization
Social Worker (Clinical)529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 673-0915
1841740529 JASMINE WILLIAMS
Individual
Social Worker529 SE 2ND ST STE D
LEES SUMMIT, MO 64063
(816) 581-3737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386096790, enumerated in the NPI registry as an "individual" on July 09, 2016

The provider is located at 529 Se 2nd St Ste D Lees Summit, Mo 64063 and the phone number is (816) 581-3737

The provider's speciality is Social Worker with taxonomy code 104100000X

This NPI record was last updated on July 09, 2016. 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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