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

Mrs. Shannon Irene Depenza, CCM

Individual provider Case Manager/Care Coordinator · NPI 1578391058

Mrs. Shannon Irene Depenza, CCM is a Case Manager/Care Coordinator in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (904) 542-9947
Fax: (888) 410-0935
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence RN3298632 (FL)

Record details

NPI number1578391058
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCM
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Other providers in Jacksonville