Individual provider Active NPI

Shelia M Thomas, MSW, LSW

  • Clinical Social Worker
  • Blue Ash, OH
National Provider Identifier
1265885362
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1901453-SUPV Issued in OH
Practice address
4260 Glendale Milford Rd Ste 101
Blue Ash, OH 45242-3752
Phone
(513) 745-9993
Fax
(513) 745-9993
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1600456 OH
Social Worker 104100000X I.1901453-SUPV OH
Clinical Social Worker 1041C0700X I.1901453-SUPV OH Primary

Addresses

Primary practice location

4260 Glendale Milford Rd Ste 101
Blue Ash, OH 45242-3752

Mailing address

4260 Glendale Milford Rd Ste 101
Blue Ash, OH 45242-3752
Phone (513) 745-9993

Other practice location 1

2602 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 751-7747

Other identifiers 1

IdentifierTypeStateIssuer
0261411MedicaidOH

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
I20240126000877 OH Practitioner - Clinical Social Worker 2860845823 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1600456OHMDSocial Worker
I.1901453-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House CurrentSince Jan 1, 2024 Accepting new patients
Trihealth H LLC CurrentSince Feb 13, 2024 Accepting new patients

Locations

4260 Glendale Milford Rd
Ste 101
Blue Ash, OH 45242
Phone (513) 745-9993

2602 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

7991 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 346-3399

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

2621 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 221-4673

1515 Carll St
Cincinnati, OH 45225
Phone (513) 244-3985

2600 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 872-5863

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1265885362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423752",
            "telephone_number": "513-745-9993",
            "fax_number": "513-745-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 GLENDALE MILFORD RD STE 101",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423752",
            "telephone_number": "513-745-9993",
            "fax_number": "513-745-9993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Victory Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061711",
            "country_code": "US",
            "telephone_number": "513-751-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHELIA",
        "middle_name": "M",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1600456",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1901453-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901453-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0261411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.