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

Shannon Ballard, BS

Individual provider Clinical Social Worker · NPI 1467855593

Shannon Ballard, BS is a Clinical Social Worker in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

5707 N 22nd St
Tampa, FL 33610-4350
Phone: (813) 239-8069
Fax: (813) 239-8514
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1467855593
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorYes
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 3, 2014

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