Active NPI
Alicia A Shepard, MSW, LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1295223048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0023615
- Practice address
- 2621 Victory Pkwy
Cincinnati, OH 45206-1754 - Phone
- (513) 221-4673
- NPI assigned
- Apr 27, 2018
- Last updated
- Apr 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | S.0023615 | OH | Primary |
Addresses
Primary practice location
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Mailing address
2904 Gatehouse Dr E
Cincinnati, OH 45215-5204
Phone (513) 512-8703
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.0023615 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1295223048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 GATEHOUSE DR E",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452155204",
"telephone_number": "513-512-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061754",
"telephone_number": "513-221-4673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "ALICIA",
"middle_name": "A",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0023615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.