Active NPI
Marilyn Shaffer Zishka, LISW
- Social Worker
- Lisbon, OH
National Provider Identifier
1245267590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- I0028838
- Practice address
- 964 N Market St
Lisbon, OH 44432-9363 - Phone
- (330) 424-1468
- Fax
- (330) 424-9844
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | I0028838 | OH | Primary |
Addresses
Primary practice location
964 N Market St
Lisbon, OH 44432-9363
Mailing address
964 N Market St
PO Box 464
Lisbon, OH 44432-9363
Phone (330) 424-1468
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I0028838 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Recovery Center | Past | Accepting new patients | |
| Family Recovery Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1740548155
-
- Community/Behavioral Health Agency
- Lisbon, OH
- NPI 1821053042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1245267590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 N MARKET ST",
"address_2": "PO BOX 464",
"city": "LISBON",
"state": "OH",
"postal_code": "444329363",
"telephone_number": "330-424-1468",
"fax_number": "330-424-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "964 N MARKET ST",
"city": "LISBON",
"state": "OH",
"postal_code": "444329363",
"telephone_number": "330-424-1468",
"fax_number": "330-424-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER ZISHKA",
"first_name": "MARILYN",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "I0028838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisbon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.