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

Shannon Geneen Kelly

Individual provider Clinical Social Worker · NPI 1275296311

Shannon Geneen Kelly is a Clinical Social Worker in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with A New Start Counseling Services, a 15-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Texas.

Years since qualifying
9
Licensed in
MI, TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

17490 Meandering Way Apt 1207
Dallas, TX 75252-6150
Phone: (830) 928-1088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3111 Electric Ave, Port Huron, MI 48060-8127 — (810) 966-3528

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 65961 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801115932 (MI)

Record details

NPI number1275296311
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2021
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice A New Start Counseling Services — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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