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

Shannon Root

Individual provider Clinical Social Worker · NPI 1881927473

Shannon Root is a Clinical Social Worker in Dayton, Ohio. Qualified in 2010, 16 years ago. Practices as a sole proprietor and works from 3 locations. Licensed in Ohio.

Years since qualifying
16
Licensed in
OH
In the registry since
2009
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Practice location Address checks out

171 Deeds Park Dr
Dayton, OH 45404-6500
Phone: (937) 641-4000
Fax: (937) 641-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 860 Valley St., Dayton, OH 45404-2066 — (937) 641-3060
  • 3300 W Tech Blvd, Miamisburg, OH 45342-4865 — (937) 641-4040

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1430014.SUPV (OH)

Record details

NPI number1881927473
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 14, 2009
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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