Melinda Christine Shade, BSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2005296 Issued in OH

Practice address

212 W Johnstown Rd
Columbus, OH 43230-2731

Phone

(614) 729-2024

Fax

(614) 729-2030

NPI assigned

Dec 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialized Alternatives for Families and Youth of Ohio, Inc.

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1447216718
  NPD (past)

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1285220194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W JOHNSTOWN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432302731",
            "telephone_number": "614-729-2024",
            "fax_number": "614-729-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADE",
        "first_name": "MELINDA",
        "middle_name": "CHRISTINE",
        "credential": "BSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2005296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany S. Shackelford, QMHS, ABS
• James B Shackson, M.D.
• Ali Shadchehr
• Ali J. Shadchehr, D.O
• Leslie Shade, RPH
• Tria Ann Shadeed, NURSE PRACTITIONER N
• Tiffany Marie Shader, PHD
• Ashton Lavonda Shaffer, CDCA
• Austin James Shaffer, DO
• Betsy L.E. Shaffer, APRN-CNP

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.