Greg L Shetter

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2507120 Issued in OH

Practice address

700 Liberty LN
West Carrollton, OH 45449-2135

Phone

(937) 247-2400

NPI assigned

Feb 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

I Am Boundless IncGroup PAC ID 9931596103, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• I Am Boundless, Inc

  • Community/Behavioral Health Agency
  • Worthington, OH
  • NPI 1891458477
  Medicare reassignment Care Compare group
• I Am Boundless, Inc.

  • General Practice Dentistry
  • Worthington, OH
  • NPI 1033937156
  NPD
• I Am Boundless, Inc.

  • Clinic/Center
  • Worthington, OH
  • NPI 1063230175
  NPD

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1053065102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E. DUBLIN GRANVILLE ROAD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430851649",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LIBERTY LN",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454492135",
            "telephone_number": "937-247-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTER",
        "first_name": "GREG",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2507120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Saluke
• Rei Scott
• Tyra Scott
• Barbara E. Shanahan
• Chelsea Amyn Paige Shetter
• Elizabeth Ann Short I, RN
• Stephen Simpson, QMHS/CMS
• Chelsea Elizabeth Smith, LSW
• Kaitlyn A Spitzer, LSW
• Kesler Spung

• Social Worker in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.