Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Shannon Kathleen Kelley, PMHNP, LCSW, CASAC

Psychiatric/Mental Health Nurse Practitioner in Syracuse, NY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1902089238

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Registry record

Entity type Individual (Type 1)

Name Mrs. Shannon Kathleen Kelley

Credential PMHNP, LCSW, CASAC

Sex Female

Practice address Syracuse, NY, 13210

Phone (315) 464-7655

Enumeration date Dec 10, 2007

Last updated in NPPES Feb 25, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 082228-1 (NY) Secondary

163W00000X Registered Nurse Nursing Service Providers · License 740606 (NY) Secondary

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 403004 (NY) Primary

LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Shannon Kelley's NPI record?

Cross-check NPI 1902089238 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1902089238 active?

Yes, as of the latest NPPES snapshot, NPI 1902089238 is active (record last updated 2021-02-25).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-25.