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

Sandra Shannon, LCSW

Individual provider Clinical Social Worker · NPI 1790473676

Sandra Shannon, LCSW is a Clinical Social Worker in Champaign, Illinois. Qualified in 2022, 4 years ago. Practices with Keri Powell Therapy Inc, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

301 N Neil St
Champaign, IL 61820-3163
Phone: (217) 352-0200
Fax: (217) 607-1139
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)

  • 2125 S Neil St, Champaign, IL 61820-7266 — (217) 352-0200

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.028987 (IL)

Record details

NPI number1790473676
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 27, 2023
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025
Mailing address2125 S Neil St, Champaign, IL 61820-7266

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Keri Powell Therapy Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Champaign