Individual provider Active NPI

Audrey F Shroyer, LISW -S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1184381998
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203365-SUPV Issued in OH
Practice address
895 Central Ave
Cincinnati, OH 45202-1961
Phone
(513) 202-3118
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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 I.2203365-SUPV OH Primary
Clinical Social Worker 1041C0700X S.1701786 OH

Addresses

Primary practice location

895 Central Ave
Cincinnati, OH 45202-1961

Mailing address

895 Central Ave Ste 300
Cincinnati, OH 45202-1984
Phone (513) 202-3118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20251002000047 OH Practitioner - Clinical Social Worker 2567968100 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5097 Allens Ridge Dr
Morrow, OH 45152-6508

PO Box
Suite 715925
Cincinnati, OH 45271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1701786OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfully, LLC CurrentSince Jul 10, 2025 Accepting new patients
Mindfully, LLC Clinical CurrentSince Jul 10, 2025 Accepting new patients
Mindfully Psychiatry LLC Past Accepting new patients

Locations

199 S Chillicothe Rd
Ste 207
Aurora, OH 44202

4357 Harrison Ave
Ste 100
Cincinnati, OH 45211

5630 Bridgetown Rd
Ste 4
Cincinnati, OH 45248
Phone (513) 252-8054

8040 Hosbrook Rd
Ste 320
Cincinnati, OH 45236
Phone (513) 861-9797

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

10861 Yankee St
Dayton, OH 45458
Phone (937) 619-0800

5050 Blazer Pkwy
Ste 101
Dublin, OH 43017
Phone (614) 451-7346

6255 Emerald Pkwy
Dublin, OH 43016
Phone (614) 766-3344

1251 Nilles Rd
Ste 5
Fairfield, OH 45014
Phone (732) 993-4599

6100 Oak Tree Blvd
Ste 200
Independence, OH 44131
Phone (330) 344-9030

165 W Center St
Ste 400
Marion, OH 43302
Phone (740) 382-3874

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242
Phone (513) 393-0300

110 S College Ave
Fl 2
Oxford, OH 45056
Phone (513) 273-0020

11565 Pearl Rd
Ste 200
Strongsville, OH 44136
Phone (440) 846-0862

3000 Regency Ct
Ste 207
Toledo, OH 43623
Phone (419) 471-0493

5900 W Chester Rd
Ste C
West Chester, OH 45069
Phone (513) 777-2428

Organizations & group practices 3

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1184381998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CENTRAL AVE STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021984",
            "telephone_number": "513-202-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CENTRAL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021961",
            "telephone_number": "513-202-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHROYER",
        "first_name": "AUDREY",
        "middle_name": "F",
        "credential": "LISW -S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203365-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1701786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.