Active NPI
Bridget Shaefer, MSW, LSW
- Specialist
- Cincinnati, OH
National Provider Identifier
1093277410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- S.1700202
- Practice address
- 5050 Madison Rd.
Cincinnati, OH 45227-1491 - Phone
- (513) 272-2800
- Fax
- (513) 272-2807
- NPI assigned
- Apr 4, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | S.1700202 | OH | Primary |
Addresses
Primary practice location
5050 Madison Rd.
Cincinnati, OH 45227-1491
Mailing address
4532 Smith Rd Apt 1
Cincinnati, OH 45212-3292
Phone (859) 468-1727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1700202 | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1093277410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 SMITH RD APT 1",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123292",
"telephone_number": "859-468-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 MADISON RD.",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452271491",
"telephone_number": "513-272-2800",
"fax_number": "513-272-2807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAEFER",
"first_name": "BRIDGET",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "S.1700202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.