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

Tonya Shanks

Individual provider Clinical Social Worker · NPI 1124724497

Tonya Shanks is a Clinical Social Worker in Rockford, Illinois. Qualified in 2022, 4 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

631 N Longwood St Ste 103
Rockford, IL 61107-4263
Phone: (815) 962-5585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149028075 (IL)
Social Worker Taxonomy 104100000X · Licence 150.110252 (IL)

Record details

NPI number1124724497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address631 N Longwood St Ste 103, Rockford, IL 61107-4263

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford