Shannon Ellis, - Clinical Social Worker in Columbus, MS

Shannon Ellis, is a Social Worker - Clinical based in Columbus, Mississippi. Shannon Ellis is licensed to practice in Mississippi (license number C11725) and her current practice location is 75 Wood Glen Ln, Columbus, Mississippi. She can be reached at her office (for appointments etc.) via phone at (662) 574-2150.

NPI number for Shannon Ellis is 1417604331 and her current mailing address is 75 Wood Glen Ln, Columbus, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417604331.

Contact Information

Shannon Ellis,
75 Wood Glen Ln,
Columbus, MS 39705-3273
(662) 574-2150
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Ellis
GenderFemale
SpecialitySocial Worker - Clinical
Location75 Wood Glen Ln, Columbus, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417604331
  • Provider Enumeration Date: 03/10/2022
  • Last Update Date: 10/16/2025

Medical Identifiers

Medical identifiers for Shannon Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417604331NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C11725 (Mississippi)Primary
1041C0700XSocial Worker - Clinical 6518C (Alabama)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Ellis,
75 Wood Glen Ln,
Columbus, MS 39705-3273

Ph: (662) 574-2150
Shannon Ellis,
75 Wood Glen Ln,
Columbus, MS 39705-3273

Ph: (662) 574-2150

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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