Shannon Sidney Broom, LCSW - Clinical Social Worker in Jonesboro, GA

Shannon Sidney Broom, LCSW is a Social Worker - Clinical based in Jonesboro, Georgia. Shannon Sidney Broom is licensed to practice in Rhode Island (license number ISW03720) and her current practice location is 630 Mill Creek Trl, Jonesboro, Georgia. She can be reached at her office (for appointments etc.) via phone at (251) 604-1522.

NPI number for Shannon Sidney Broom is 1114639119 and her current mailing address is 630 Mill Creek Trl, Jonesboro, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114639119.

Contact Information

Shannon Sidney Broom, LCSW
630 Mill Creek Trl,
Jonesboro, GA 30238-4122
(251) 604-1522
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Sidney Broom
GenderFemale
SpecialitySocial Worker - Clinical
Location630 Mill Creek Trl, Jonesboro, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114639119
  • Provider Enumeration Date: 12/21/2022
  • Last Update Date: 12/21/2022

Medical Identifiers

Medical identifiers for Shannon Sidney Broom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114639119NPI-NPPES
ISW03720OtherRILCSW

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical ISW03720 (Rhode Island)Primary

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 Sidney Broom 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 Sidney Broom, LCSW
630 Mill Creek Trl,
Jonesboro, GA 30238-4122

Ph: (251) 604-1522
Shannon Sidney Broom, LCSW
630 Mill Creek Trl,
Jonesboro, GA 30238-4122

Ph: (251) 604-1522

Reviews and Comments


Social Worker in Jonesboro, GA

Ms. Tammie Denise Briscoe, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 7555 Green Springs Dr, Jonesboro, GA 30236
Phone: 404-680-5429    
Ms. Akiami Bigelow,
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Practice Location: 2517 Reeves Creek Rd, Jonesboro, GA 30236
Phone: 404-759-4853    
Witni Jackson,
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Medicare: Not Enrolled in Medicare
Practice Location: 853 Battlecreek Rd, Jonesboro, GA 30236
Phone: 770-478-1099    Fax: 770-478-8722
Dr. Benjamin Downs Iii, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 9361 Fieldstone Ct, Jonesboro, GA 30236
Phone: 770-478-1188    Fax: 770-478-7777
Marjorie Kindelan-ray,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 409 Arrowhead Blvd Ste C2, Jonesboro, GA 30236
Phone: 770-961-1997    
Mrs. Tiajuana Dillard, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 267 Water Oak Ln, Jonesboro, GA 30238
Phone: 678-779-5925    

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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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