Individual ProviderShannon L KennealeySocial WorkerBehavioral Health & Social Service ProvidersPractice Address5340 S Quebec St Ste 330, Greenwood Village, CO 80111-1909(773) 320-0345(720) 242-7515PECOS EnrollmentBased on the most recent information from CMS, provider Shannon L Kennealey does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:02 AM.Profile DetailsProvider ID1437810884Provider TypeIndividualFull NameKennealey, Shannon LCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/7/2022Last Updated1/7/2022Contact InformationPractice LocationPractice Address5340 S Quebec St Ste 330, Greenwood Village, CO 80111-1909Phone(773) 320-0345FaxUnlisted FaxMailing LocationMailing Address64 Charlou Cir, Cherry Hills Village, CO 80111-1103Phone(720) 242-7515FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW.09927382Colorado