Doctor profile · Federal record

Dr. Shannon Kelly

Clinical Social Worker · Clinical Social Worker · Dallas, TX

  • NPI 1275296311
  • Accepts Medicare
  • 9 yrs in practice
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
17490 Meandering Way Apt 1207
Dallas, TX 752526150
(830) 928-1088
Additional location
3111 Electric Ave
Port Huron, MI 480608127
(810) 966-3528

Credentials & registration

NPPES · NUCC
NPI registered
October 2021 — 5 yrs on file
Profile last updated
October 17, 2023
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
1041C0700X — NUCC code
State licenses (2)
Texas #65961 · Michigan #6801115932

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1275296311. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
109
Distinct HCPCS
2
Medicare allowed
$11,852
HCPCS Description Services Patients Avg allowed
90837 Psychotherapy, 1 hour 97 11 $106
90791 Psychiatric diagnostic evaluation 12 11 $127

In context: peer comparison

Among 20 peers in Dallas Clinical Social Worker, average services per provider: 129. This provider delivers 0.8× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Shannon Kelly's medical specialty?
Dr. Shannon Kelly practices Clinical Social Worker in Dallas, TX.
Where does Dr. Shannon Kelly practice?
Dr. Shannon Kelly practices at 17490 Meandering Way Apt 1207, Dallas, TX 752526150. Office phone: 8309281088.
What is Dr. Shannon Kelly's NPI?
Dr. Shannon Kelly's National Provider Identifier (NPI) is 1275296311, issued by NPPES.
Does Dr. Shannon Kelly accept Medicare assignment?
Yes. Dr. Shannon Kelly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shannon Kelly commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy (HCPCS 90837); Psychiatric diagnostic evaluation (HCPCS 90791). Source: CMS Medicare Physician & Other Practitioners file.