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

Shannon Michelle Kelly, MSW

Individual provider Social Worker · NPI 1043957095

Shannon Michelle Kelly, MSW is a Social Worker in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

650 S Center St
Beaver Dam, WI 53916-2804
Phone: (920) 212-7820
Fax: (608) 720-1719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence MSW (WI)

Record details

NPI number1043957095
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMay 19, 2022
Last updated in NPPESMay 19, 2022
Certification dateMay 12, 2022

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