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
- 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
- Code Navigator
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. | |||||||||
| 1 | 6 | 0 | 9 | 9 | 3 | 3 | 4 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 0 | 9 | 18 | 3 | 6 | 4 | 8 | |
| 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 = 9 | 9 | ||||||||
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 |
|---|---|---|---|
| 1154761153 | DR. JENNIFER JO HENRY O.D. Individual | Optometrist | 3141 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 Therapist | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (719) 227-4015 |
| 1083997837 | AUDREY TOMJACK PHARMD Individual | Pharmacist | 3141 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 | Pharmacist | 3141 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 Coordinator | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (719) 227-4431 |
| 1427157049 | MS. MARGARET LEE MONTOYA RN ANP PMHNP RXN Individual | Nurse Practitioner | 3141 CENTENNIAL BLVD VA COLORADO SPRINGS, CO 80907 (719) 327-5660 |
| 1437677036 | MS. JACLINE LEE HARRIMAN LPC Individual | Counselor (Mental Health) | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (303) 202-7978 |
| 1942729686 | DR. ELIZABETH M EDMONDS PHARMD Individual | Pharmacist | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (719) 227-4366 |
| 1477060036 | MINDA PARSONS Individual | Health Educator | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (719) 227-4360 |
| 1386191161 | DR. 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 Worker | 3141 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 Medicine | 3141 CENTENNIAL BLVD COLORADO SPRINGS, CO 80907 (719) 327-5660 |
| 1669029419 | GEORGE SANTINI MD Individual | Family Medicine | 3141 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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