Shannon Elizabeth Aaron, LCSW
Individual provider Active NPI Clinical Social Worker · Midvale, UT
NPI 1003606088 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1003606088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 12877639-3501 (UT)
- Practice address
- 613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531 - Phone
- (801) 984-1717
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12877639-3501 | UT | MD | Clinical Social Worker |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Stone Group, LLC | Past |
Accepting new patients | |
| Willow Therapy Services, LLC | Clinical | Past | Accepting new patients |
Networks
- UT PPO
- UT PPO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12877639-3501 | UT | Yes |
Addresses
Primary practice location
613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531
Mailing address
613 E Fort Union Blvd Ste 104
Midvale, UT 84047-5531
Phone (801) 984-1717
Other providers in Midvale, UT
- Laura Abe
- Abes Transportation LLC
- Above and Beyond ABA Ut LLC
- Jeremy Brian Abrams
- Nicholas Michael Absalom
All providers in Midvale, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.