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

Shawn Todd Kebker, LCSW

Individual provider Social Worker · NPI 1306339965

Shawn Todd Kebker, LCSW is a Clinical Social Worker in Phoenix, Arizona. Qualified in 2018, 8 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Ohio.

Years since qualifying
8
Licensed in
AZ, OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3330 N 2nd St Ste 601
Phoenix, AZ 85012-2395
Phone: (602) 230-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3500 Carnegie Ave, Cleveland, OH 44115-2641 — (440) 260-8300

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW-20587 (AZ)
Social Worker Taxonomy 104100000X · Licence S.1802415 (OH)

Record details

NPI number1306339965
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 8, 2018
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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