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

Shannon Russell, QMHS/CDCA

Individual provider Case Manager/Care Coordinator · NPI 1790250504

Shannon Russell, QMHS/CDCA is a Case Manager/Care Coordinator in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

5244 W 2nd St
Dayton, OH 45417-9044
Phone: (937) 369-9916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence CDCA.165915 (OH)

Record details

NPI number1790250504
Entity typeIndividual (Type 1)
GenderFemale
Credentials QMHS/CDCA
Sole proprietorNo
NPI enumeratedOctober 8, 2018
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Other providers in Dayton