Shannon Marie Rossman, LBSW, CADC, CPRC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6852091301 Issued in MI

Practice address

704 Emmet St
Petoskey, MI 49770-2910

Phone

(231) 347-5511

Fax

(231) 347-5422

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mt Pleasant, MI
  • NPI 1598932253
  NPD (past)
• Munson Medical Center

  • Psychiatric Hospital Unit
  • Traverse City, MI
  • NPI 1891586103

  Social Worker

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1487388971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 EMMET ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702910",
            "telephone_number": "231-330-0593",
            "fax_number": "313-475-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 EMMET ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702910",
            "telephone_number": "231-347-5511",
            "fax_number": "231-347-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LBSW, CADC, CPRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6852091301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald a Ronquist MD PC
• Ronald a Ronquist MD PC
• Keith Rose, M.D.
• Dylan Rosenthal
• Ashley J Rossman, D.O.
• Donald Bruce Roth, M.D.
• Rebecca Roth, PH.D.
• Mark Rothman, CRNA
• Lee Martin Rousseau, MSW, LBSW, CAADC
• Janelle Routhier, O.D

• Social Worker in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.