Individual provider Active NPI

Shelbey M Mitchell, MSW, LISW-S

  • Clinical Social Worker
  • Lewis Center, OH
National Provider Identifier
1265884589
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1801080 Issued in OH
Practice address
7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238
Phone
(740) 428-0428
Fax
(614) 457-7896
NPI assigned
Jul 11, 2016
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1801080 OH Primary

Addresses

Primary practice location

7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238

Mailing address

7100 Graphics Way Ste 3100
Lewis Center, OH 43035-0238
Phone (740) 428-0428

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
I20181025000886 OH Practitioner - Clinical Social Worker 6800149642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1801080OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hold Space Counseling Past Accepting new patients
Syntero, Inc. PastSince Apr 21, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1265884589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350238",
            "telephone_number": "740-428-0428",
            "fax_number": "614-457-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 GRAPHICS WAY STE 3100",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350238",
            "telephone_number": "740-428-0428",
            "fax_number": "614-457-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHELBEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1801080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.