Active NPI
Dyana Maria Shaffer, CSW,MSW
- Clinical Social Worker
- Springfield, OH
National Provider Identifier
1326089335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW0000006477
- Practice address
- 512 S Burnett Rd
Springfield, OH 45505-2720 - Phone
- (180) 036-8826
- Fax
- (937) 322-8528
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW0000006477 | TN | Primary |
Addresses
Primary practice location
512 S Burnett Rd
Springfield, OH 45505-2720
Mailing address
1947 Portage Path
Springfield, OH 45506-3333
Phone (937) 325-3157
Other names 1
- Ms. Dyana Maria Guilford-Shaffer
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 |
|---|---|---|---|
| CSW0000006477 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1326089335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1947 PORTAGE PATH",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455063333",
"telephone_number": "937-325-3157",
"fax_number": "937-322-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 S BURNETT RD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052720",
"telephone_number": "180-036-8826",
"fax_number": "937-322-8528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFFER",
"first_name": "DYANA",
"middle_name": "MARIA",
"name_prefix": "Ms.",
"credential": "CSW,MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "CSW0000006477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DYANA",
"last_name": "GUILFORD-SHAFFER",
"middle_name": "MARIA",
"prefix": "MS.",
"credential": "CSW,MSW.LSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.