Aimee L Shannon, LICENSED SOCIAL WORK

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S0019522 Issued in OH

Practice address

110 S Stanfield Rd Ste C
Troy, OH 45373-3689

Phone

(937) 787-6859

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Rivers Edge Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, OH
  • NPI 1174385132
  NPD

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1770293565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S STANFIELD RD STE C",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733689",
            "telephone_number": "937-787-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S STANFIELD RD STE C",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453733689",
            "telephone_number": "937-787-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "AIMEE",
        "middle_name": "L",
        "credential": "LICENSED SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S0019522",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0019522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Setliff, M.A., CCC-SLP
• Ronald Karl Setzkorn, MD
• Mary Elizabeth Shade, COTA/L
• Stephanie Shafer, M.A.
• Urvi N Shah, NP-C
• Marissa Anne Anne Sharpe
• Kristina Shaw
• Brittany Shellabarger
• Amber Sheridan, COTA/L
• Isaac James Shetler

• Clinical Social Worker in Troy, OH
• Providers in Troy, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.