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SHANNON PETERSON CDCA
NPI 1356858393
Case Manager/Care Coordinator in Dayton, OH

Active since December 29, 2017
1 ELIZABETH PL STE 190, DAYTON, OH 45417(937) 952-6811 Get Directions Write a Review

NPPES record last updated: December 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Peterson Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON PETERSON CDCA (NPI 1356858393) is an individual case manager/care coordinator provider in Dayton, Ohio, licensed in Ohio (CDCA.163380) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1356858393
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHANNON PETERSONCredential: CDCA
Location Address1 ELIZABETH PL STE 190Dayton, OH 45417-3445
Mailing Address3222 W Central AveToledo, OH 43606-2929 · (567) 316-7253
Phone(937) 952-6811
Sole ProprietorNo
Enumeration DateDecember 29, 2017
✔ NPI 1356858393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in OH · CDCA.163380
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1 ELIZABETH PL STE 190, Dayton, OH 45417
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARIN MACHER CDCA
Case Manager/Care Coordinator
1 ELIZABETH PL STE 190
DAYTON, OH 45417
Montgomery County (937) 952-6811
ELIZABETH PIGUET LSW
Social Worker
1 ELIZABETH PL STE 190
DAYTON, OH 45417
Montgomery County (937) 230-6116
DANIEL WICK
Counselor (Professional)
1 ELIZABETH PL STE 190
DAYTON, OH 45417
Montgomery County (937) 652-6811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Peterson's NPI number?

The NPI number for Shannon Peterson is 1356858393. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Shannon Peterson located?

Shannon Peterson practices at 1 Elizabeth Pl Ste 190, Dayton, OH 45417. The listed phone number is (937) 952-6811.

What is Shannon Peterson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Shannon Peterson was last updated on December 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.