SHANNON CORN (NPI# 1700367794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700367794 |
| Entity Type | Individual |
| Full Name | SHANNON CORN |
| Credential | LCSW |
| Practice Address |
1256 Waterford Dr Ste 140 Aurora IL 60504-4512 |
| Mailing Address |
901 Cobblestone Ct Shorewood IL 60404-9608 |
| Practice Telephone | 6308985322 |
| Mailing Telephone | 8155304339 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149020213 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1256 WATERFORD DR STE 140 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538372305 | Denise R Meyer | Counselor | 1256 Waterford Dr Ste 140, Aurora, IL 60504-4512 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655521 | Cynthia L. Delap | Social Worker | 170 Wells Road, Aurora, NY 13026 | 2020-10-02 |
| 1992312508 | Niki J Mehta | Social Worker | 1739 Montrose Dr, Aurora, IL 60503-7600 | 2020-09-28 |
| 1053927392 | Katherine Caldwell Mortimer | Social Worker | 4188 S Riviera St, Aurora, CO 80018-3141 | 2020-09-22 |
| 1972119949 | Erin Phipps | Social Worker | 11892 E Yale Ct, Aurora, CO 80014-3119 | 2020-09-16 |
| 1861004616 | Melissa Jean Bruce | Social Worker | 14730 E Grand Ave, Aurora, CO 80015-2235 | 2020-08-21 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1700406741 | Cheryl Gonska | Social Worker | 450 Echo Ln Apt D, Aurora, IL 60504-6128 | 2020-04-20 |
| 1861021768 | Personal Victory Counseling, Inc. | Social Worker | 3675 Darlene Ct Ste B, Aurora, IL 60504-6523 | 2020-04-03 |
| 1447889415 | Jamal Timothy Jackson | Social Worker | 4470 S Valdai Way, Aurora, CO 80015-5571 | 2020-04-02 |
| 1457988693 | Marissa J Happ | Social Worker | 412 N. Lake St., Aurora, IL 60506-4106 | 2020-03-26 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.