Active NPI
Shirley Pry, LCSW
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1164891701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34006014A
- Practice address
- 1133 Lincoln Ave
Evansville, IN 47714-1028 - Phone
- (812) 303-0212
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34006014A | IN | Primary |
Addresses
Primary practice location
1133 Lincoln Ave
Evansville, IN 47714-1028
Mailing address
PO Box 78
Evansville, IN 47701-0078
Phone (812) 303-0212
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1164891701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477010078",
"telephone_number": "812-303-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141028",
"telephone_number": "812-303-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRY",
"first_name": "SHIRLEY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34006014A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.