Individual provider Active NPI

Shane T Strunk, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1023268059
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800218.SUPV Issued in OH
Practice address
4240 Hunt Rd
Cincinnati, OH 45242-6612
Phone
(513) 891-0650
Fax
(513) 891-2838
NPI assigned
Sep 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.0800218.SUPV OH Primary

Addresses

Primary practice location

4240 Hunt Rd
Cincinnati, OH 45242-6612

Mailing address

4240 Hunt Rd
Cincinnati, OH 45242-6612
Phone (513) 891-0650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030000092 OH Practitioner - Clinical Social Worker 6608365697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

101 Oxford Circle CT
Hamilton, OH 45013-1146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0800218.SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Insight LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

1118 Pendleton St
Ste 400
Cincinnati, OH 45202
Phone (513) 309-6481

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1023268059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426612",
            "telephone_number": "513-891-0650",
            "fax_number": "513-891-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426612",
            "telephone_number": "513-891-0650",
            "fax_number": "513-891-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUNK",
        "first_name": "SHANE",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800218.SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.