Shannon Van Maanen, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

113325 Issued in IA

Practice address

1905 10TH St
Rock Valley, IA 51247-1630

Phone

(712) 476-5245

Fax

(712) 476-9621

NPI assigned

Jun 6, 2022

Last updated

Aug 5, 2025By the provider in NPPES

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Creative Living Center PCGroup PAC ID 8527055714, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Creative Living Center, P.C.

  • Counselor
  • Rock Valley, IA
  • NPI 1609807098
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1588393698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512470163",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 10TH ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471630",
            "telephone_number": "712-476-5245",
            "fax_number": "712-476-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MAANEN",
        "first_name": "SHANNON",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "113325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TKC Optical, Inc (Exact Eye Care)
• Melissa Toering, RBT
• Olivia Beth Van Beek, FNP-C
• Aaron Van Den Berg, PHARMD
• Kelly Sue Van Gelder, LISW
• Donna L Van Peursem, LISW
• Katie Vander Zwaag, MA, NCC, LMHC, RPT
• Clarence Joseph Vanderlei, O.D.
• Gale Vanengen, LISW
• Gregory Scott Vanpeursem, PA-C

• Social Worker in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.