Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon E Peterson

Individual provider Clinical Social Worker · NPI 1659982445

Shannon E Peterson is a Clinical Social Worker in Des Moines, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2020

Practice location Address checks out

309 Court Ave Ste 241
Des Moines, IA 50309-2282
Phone: (515) 901-2974
Fax: (308) 398-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 112347 (IA)

Record details

NPI number1659982445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 14, 2020
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022
Mailing address309 Court Ave Ste 241, Des Moines, IA 50309-2282

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