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

Shannon Willis

Individual provider Social Worker · NPI 1417291816

Shannon Willis is a Social Worker in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012

Practice location Address checks out

9702 Stonestreet Rd Ste 110
Louisville, KY 40272-6808
Phone: (502) 589-8600
Fax: (502) 589-8771
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 4675 (KY)

Record details

NPI number1417291816
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2012
Last updated in NPPESNovember 26, 2012

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