DR. SHANNON MANDLE KETTNER PHD, LSCSW
NPI 1609933449
Social Worker - Clinical in Colorado Springs, CO

NPI Status: Active since January 02, 2007

Contact Information

3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO
ZIP 80907
Phone: (719) 327-5660

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  • Individual
  • Female
  • Social Worker
  • Clinical

About SHANNON KETTNER

This page provides the complete NPI Profile along with additional information for Shannon Kettner, a provider established in Colorado Springs, Colorado with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1609933449 assigned on January 2007. The practitioner's primary taxonomy code is 1041C0700X with license number 1075 (KS). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1609933449
Provider Name
DR. SHANNON MANDLE KETTNER PHD, LSCSW
Gender
Female
Entity Type
Individual
Location Address
3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907
Location Phone
(719) 327-5660
Mailing Address
3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907
Mailing Phone
(719) 327-5660
Is Sole Proprietor?
No
Enumeration Date
01-02-2007
Last Update Date
11-17-2015
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A clinical social worker like Shannon Kettner 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.
1075
License State
KS
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.
1609933449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609183648
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 3 + 6 + 4 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1609933449 is valid because the calculated check digit 9 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
1154761153DR. JENNIFER JO HENRY O.D.
Individual
Optometrist3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4020
1043446271 RACHELL BROOKE JAWORSKI PHARM D
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3141 CENTENNIAL BLVD COLORADO SPRINGS VA
COLORADO SPRINGS, CO 80907
(719) 227-4361
1366835084 RENEE MEYER PT
Individual
Physical Therapist3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4015
1083997837 AUDREY TOMJACK PHARMD
Individual
Pharmacist3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4135
1962743070 PENELOPE AVRA JOHNSON PHARMD, BCPS
Individual
Pharmacist (Pharmacotherapy)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4366
1710303342 KIMBERLY GAIL SERATT PHARM.D.
Individual
Pharmacist3141 CENTENNIAL BLVD PHARMACY-119
COLORADO SPRINGS, CO 80907
(719) 327-5660
1548636111 KARINA HALL LCSW
Individual
Social Worker (Clinical)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1528471166 JENNIFER MEDLIN LCSW
Individual
Social Worker (Clinical)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1285184598 VICTOR BAILEY
Individual
Case Manager/Care Coordinator3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4431
1427157049MS. MARGARET LEE MONTOYA RN ANP PMHNP RXN
Individual
Nurse Practitioner3141 CENTENNIAL BLVD VA
COLORADO SPRINGS, CO 80907
(719) 327-5660
1437677036MS. JACLINE LEE HARRIMAN LPC
Individual
Counselor (Mental Health)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(303) 202-7978
1942729686DR. ELIZABETH M EDMONDS PHARMD
Individual
Pharmacist3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4366
1477060036 MINDA PARSONS
Individual
Health Educator3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4360
1386191161DR. JAMES LITTLE D.D.S.
Individual
Dentist (General Practice)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1710473509 LAWRENCE C HALBY LPC
Individual
Counselor (Professional)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4073
1588144158 LAURA STOCKS LMSW
Individual
Social Worker3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1689092009 ROXANNE RUSSELL
Individual
Psychiatry & Neurology (Psychiatry)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1679917827 DAVID B SHAPIRO D.O.
Individual
Family Medicine3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 327-5660
1669029419 GEORGE SANTINI MD
Individual
Family Medicine3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(720) 723-6344
1861040735 JAMES PETERSEN LCSW
Individual
Social Worker (Clinical)3141 CENTENNIAL BLVD
COLORADO SPRINGS, CO 80907
(719) 227-4057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609933449, enumerated in the NPI registry as an "individual" on January 02, 2007

The provider is located at 3141 Centennial Blvd Colorado Springs, Co 80907 and the phone number is (719) 327-5660

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

This NPI record was last updated on January 02, 2007. 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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