Individual provider Active NPI

Shelly Arlene Flachs, LCSW

  • Clinical Social Worker
  • Quincy, IL
National Provider Identifier
1114288404
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017053 Issued in IL
Practice address
1632 Kentucky St
Quincy, IL 62301-4259
Phone
(217) 430-8933
NPI assigned
Jun 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2015011135 MO
Clinical Social Worker 1041C0700X 149017053 IL Primary

Addresses

Primary practice location

1632 Kentucky St
Quincy, IL 62301-4259

Mailing address

1632 Kentucky St
Quincy, IL 62301-4259
Phone (217) 430-8933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ME, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20141029000548 IL Practitioner - Clinical Social Worker 0749401149 Reassigns benefits to 1 organization
I20220222001384 ME Practitioner - Clinical Social Worker 0749401149 Reassigns benefits to 1 organization
I20221014000409 MO Practitioner - Clinical Social Worker 0749401149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1632 Kentucky St
Quincy, IL 62301-4259
Phone (217) 430-8933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Hospital Corp CurrentSince Feb 6, 2022 Accepting new patients
Mark Twain Association for Mental Health, Inc. CurrentSince Sep 22, 2022 Accepting new patients
Therapy Redefined by Shelly Flachs Clinical CurrentSince Jun 8, 2024 Accepting new patients
Mark Twain Association for Mental Health, Inc CurrentSince Sep 22, 2022 Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

439 US Route 1
#A
York, ME 03909
Phone (207) 200-1167

154 Forrest Dr
Hannibal, MO 63401
Phone (573) 221-2120

Organizations & group practices 5

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": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1114288404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 KENTUCKY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014259",
            "telephone_number": "217-430-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 KENTUCKY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014259",
            "telephone_number": "217-430-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLACHS",
        "first_name": "SHELLY",
        "middle_name": "ARLENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-03",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2015011135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.