Active NPI
Lisa Shoemaker, LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1174153464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0600660
- Practice address
- 3129 Spring Grove Ave
Cincinnati, OH 45225-1821 - Phone
- (513) 853-6930
- NPI assigned
- Jan 25, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.0600660 | OH | Primary |
Addresses
Primary practice location
3129 Spring Grove Ave
Cincinnati, OH 45225-1821
Mailing address
1424 Whitaker LN
Amelia, OH 45102-1036
Phone (513) 212-1249
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.0600660 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579996800000",
"number": "1174153464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 WHITAKER LN",
"city": "AMELIA",
"state": "OH",
"postal_code": "451021036",
"telephone_number": "513-212-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 SPRING GROVE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452251821",
"telephone_number": "513-853-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOEMAKER",
"first_name": "LISA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-25",
"last_updated": "2020-01-26",
"certification_date": "2020-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0600660",
"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 Jan 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.