Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Davis Shannon, MSW

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265985170

Davis Shannon, MSW is a Student in an Organized Health Care Education/Training Program in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

702 W Chestnut St
Bloomington, IL 61701-2814
Phone: (217) 649-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)

Record details

NPI number1265985170
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 27, 2016
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address702 W Chestnut St, Bloomington, IL 61701-2814

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