Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tonya Shanks

Individual provider Clinical Social Worker · NPI 1124724497

Tonya Shanks is a Clinical Social Worker in Rockford, Illinois. Qualified in 2022, 4 years ago. Practices with Vitae Health Medical Illinois, PLLC, a 215-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

631 N Longwood St Ste 103
Rockford, IL 61107-4263
Phone: (815) 962-5585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149028075 (IL)
Social Worker Taxonomy 104100000X · Licence 150.110252 (IL)

Record details

NPI number1124724497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vitae Health Medical Illinois, Pllc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford