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

Kathleen Marie Shannon, LISW

Individual provider Social Worker · NPI 1225137219

Kathleen Marie Shannon, LISW is a Clinical Social Worker in Boardman, Ohio. Qualified in 1983, 43 years ago. Practices with Aspire Mental Health LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
43
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

930 Trailwood Dr
Boardman, OH 44512-5007
Phone: (513) 834-7063
Fax: (513) 873-1567
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4930 Enterprise Dr Nw, Warren, OH 44481-8706 — (330) 787-0955

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I.0003968-SUPV (OH)
Social Worker Taxonomy 104100000X · Licence I0003968 (OH)

Record details

NPI number1225137219
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Aspire Mental Health Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Boardman