Individual provider Active NPI

Shana Slone, LCSW

  • Clinical Social Worker
  • Grethel, KY
National Provider Identifier
1063839876
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255195 Issued in KY
Practice address
7629 Ky Route 979
Grethel, KY 41631-6304
Phone
(606) 587-2200
NPI assigned
Mar 19, 2014
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 255195 KY Primary

Addresses

Primary practice location

7629 Ky Route 979
Grethel, KY 41631-6304

Mailing address

1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 1

299 Mt Raider Dr
HI Hat, KY 41636-6230
Phone (606) 263-6500

Other practice location 2

183 Rebel Rd
Eastern, KY 41622-6503
Phone (606) 263-6500

Other practice location 3

1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 4

246 Ky Route 979
Harold, KY 41635-9046
Phone (606) 487-2200

Other identifiers 1

IdentifierTypeStateIssuer
7100691610MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200918001759 KY Practitioner - Clinical Social Worker 7315365525 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Sandy Health Care, IncGroup PAC ID 1951211218, shared by 17 NPIs, 51 clinicians

Practice addresses (Care Compare)

178 Douglas Pkwy
Pikeville, KY 41501-6970
Phone (606) 639-3135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255195KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sandy Health Care, Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince Nov 9, 2020 Accepting new patients
Big Sandy Health Care Inc CurrentSince Nov 9, 2020 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Sep 9, 2020 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Mountain Comprehensive Care Center, Inc. Mental Health CurrentSince Sep 9, 2020 Accepting new patients
Big Sandy Health Care Inc CurrentSince Nov 9, 2020 Accepting new patients
Big Sandy Health Care Inc Current Accepting new patients
Big Sandy Health Care Inc CurrentSince May 25, 2022 Accepting new patients
Big Sandy Health Care Inc Past Accepting new patients

Locations

23 Willow Dr
Auxier, KY 41602
Phone (606) 886-8997

183 Rebel Rd
Eastern, KY 41622
Phone (606) 263-6500

136 Park Rd
Freeburn, KY 41528
Phone (606) 984-5484

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

7629 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

246 Ky Route 979
Harold, KY 41635
Phone (606) 478-2200

299 Mt Raider Dr
Hi Hat, KY 41636
Phone (606) 263-6500

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

178 Douglas Pkwy
Pikeville, KY 41501
Phone (606) 639-3135

50 Weddington Branch Rd
Ste B
Pikeville, KY 41501
Phone (606) 432-2172

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

452 Tom Frazier Way
Salyersville, KY 41465
Phone (606) 349-5126

940 Parkway Dr
Salyersville, KY 41465
Phone (606) 298-3412

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1063839876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 KY ROUTE 979",
            "city": "GRETHEL",
            "state": "KY",
            "postal_code": "416316304",
            "telephone_number": "606-587-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "299 Mt Raider Dr",
            "address_purpose": "LOCATION",
            "city": "HI Hat",
            "state": "KY",
            "postal_code": "416366230",
            "country_code": "US",
            "telephone_number": "606-263-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "183 Rebel Rd",
            "address_purpose": "LOCATION",
            "city": "Eastern",
            "state": "KY",
            "postal_code": "416226503",
            "country_code": "US",
            "telephone_number": "606-263-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Ky Route 321 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539097",
            "country_code": "US",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Harold",
            "state": "KY",
            "postal_code": "416359046",
            "country_code": "US",
            "telephone_number": "606-487-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLONE",
        "first_name": "SHANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100691610",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grethel, KY

Sources for this page

Verify at the official NPI Registry.