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

Shannon Nicole Blanciak

Individual provider Clinical Social Worker · NPI 1801509450

Shannon Nicole Blanciak is a Clinical Social Worker in Jeannette, Pennsylvania. Qualified in 2000, 26 years ago. Practices with Brightside Medical PC, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
26
Licensed in
PA
In the registry since
2022

Practice location Address checks out

1004 Palm Ct
Jeannette, PA 15644-4633
Phone: (415) 360-3348
Fax: (855) 350-5708
Show map & directions

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

Additional practice locations (1)

  • 1004 Palm Ct, Jeannette, PA 15644-4633 — (215) 880-5289

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW015155 (PA)

Record details

NPI number1801509450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Brightside Medical Pc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jeannette