Individual provider Active NPI

Shaylee R Vice, LCSW

  • Clinical Social Worker
  • Muncie, IN
National Provider Identifier
1154888410
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009821A Issued in IN
Practice address
2401 W University Ave Ste 3500a
Muncie, IN 47303-3428
Phone
(765) 741-3141
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 99088507A IN
Clinical Social Worker 1041C0700X 34009821A IN Primary

Addresses

Primary practice location

2401 W University Ave Ste 3500a
Muncie, IN 47303-3428

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2010 Brentwood Dr
Anderson, IN 46011-4042
Phone (765) 393-0063

Other identifiers 3

IdentifierTypeStateIssuer
300069509MedicaidIN
1102792802OtherINANTHEM PTAN
M22404286OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address svice@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20221108000674 IN Practitioner - Clinical Social Worker 2668849423 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99088507AINMDSocial Worker
34009821AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC Clinical CurrentSince Sep 1, 2023 Accepting new patients
Meridian Health Services Corp. Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. PastSince Nov 6, 2022 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

1707 Bethany Rd
Anderson, IN 46012
Phone (765) 393-8783

4410 W 49th Ave
Hobart, IN 46342
Phone (219) 942-3279

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

4100 N Morrison Rd
Muncie, IN 47304
Phone (765) 212-3162

2401 W University Ave
Ste 3500A
Muncie, IN 47303
Phone (765) 702-2819

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

240 N Tillotson Ave
Muncie, IN 47304

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

Interoperability endpoints

  • Direct secure messaging: svice@direct.iuhealth.org

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1154888410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE STE 3500A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "765-741-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Brentwood Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460114042",
            "country_code": "US",
            "telephone_number": "765-393-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICE",
        "first_name": "SHAYLEE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99088507A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009821A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300069509",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102792802",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M22404286",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "svice@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 W University Ave Ste 3500A",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.