Individual provider Active NPI

Lyndsay Shankle, MSW LSW

  • Social Worker
  • Saint Clairsville, OH
National Provider Identifier
1255167789
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2208124 Issued in OH
Practice address
104 N Marietta St
Saint Clairsville, OH 43950-1218
Phone
(740) 695-5441
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X S.2208124 OH
Social Worker 104100000X S.2208124 OH Primary

Addresses

Primary practice location

104 N Marietta St
Saint Clairsville, OH 43950-1218

Mailing address

1211 Pearl St
Martins Ferry, OH 43935-1927
Phone (740) 359-5355

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

LicenseStateTypeSpecialty
S.2208124OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Help Center Inc. CurrentSince Sep 15, 2024 Accepting new patients
Tri-County Help Center, Inc. PastSince Sep 15, 2024 Accepting new patients

Locations

104 N Marietta St
Saint Clairsville, OH 43950
Phone (740) 338-0125

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1255167789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 PEARL ST",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351927",
            "telephone_number": "740-359-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N MARIETTA ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501218",
            "telephone_number": "740-695-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKLE",
        "first_name": "LYNDSAY",
        "credential": "MSW LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "S.2208124",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2208124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.