Shannon Rebecca Naik, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.2203603 Issued in OH

Practice address

1525 Stretch Dr
Beavercreek Township, OH 45434-5644

Phone

(937) 671-1316

NPI assigned

May 16, 2022

Last updated

May 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1841937448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 STRETCH DR",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454345644",
            "telephone_number": "937-671-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 STRETCH DR",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454345644",
            "telephone_number": "937-671-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "SHANNON",
        "middle_name": "REBECCA",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan M Lafky, DPT
• Kimberly Harris Lewis, D.P.M.
• Haley McLatchey, BCBA
• Jane Diane Morford, MD
• Brock Michael Myers
• Abigail Schmid
• Taylor N Steinbrunner, DPT, PT
• Donna Jane Swartz, LPCC
• The Colonel Glenn Chiropractic and Rehabilitation Center LLC

• Clinical Social Worker in Beavercreek Township, OH
• Providers in Beavercreek Township, 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 May 16, 2022; 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.