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

Mrs. Shannon Rae Speaks, LISW-S

Individual provider Clinical Social Worker · NPI 1073122313

Mrs. Shannon Rae Speaks, LISW-S is a Clinical Social Worker in Hudson, Ohio. Qualified in 2003, 23 years ago. Practices with Kelly Reeves Memorial Foundation, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
23
Licensed in
OH
In the registry since
2020

Practice location Address checks out

56 Milford Dr
Hudson, OH 44236-2704
Phone: (216) 245-5213
Show map & directions

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

Additional practice locations (1)

  • 2275 State Route 59, Kent, OH 44240-7143 — (330) 593-5959

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.0900288-SUPV (OH)

Record details

NPI number1073122313
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S
Sole proprietorYes
NPI enumeratedJuly 22, 2020
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Kelly Reeves Memorial Foundation — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hudson