Individual provider Active NPI

Shelby P McDannald

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1356970230
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1133 Lincoln Ave
Evansville, IN 47714-1028
Phone
(812) 491-2615
NPI assigned
Apr 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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 Primary

Addresses

Primary practice location

1133 Lincoln Ave
Evansville, IN 47714-1028

Mailing address

PO Box 3117
Evansville, IN 47730-3117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221123001563 TX Practitioner - Clinical Social Worker 4981072907 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clearhope Counseling and Wellness Center, PC Clinical CurrentSince Sep 28, 2022 Accepting new patients
Counseling for Change, Inc. CurrentSince Apr 5, 2020 Accepting new patients
Texas Children'S Physician Group CurrentSince Nov 20, 2023 Accepting new patients
Maglinger Home Based Services Inc. PastSince Apr 5, 2020 Accepting new patients

Locations

1133 Lincoln Ave
Evansville, IN 47714
Phone (812) 303-0212

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840

6021 Fairmont Pkwy
Ste 200
Pasadena, TX 77505
Phone (281) 769-2238

17600 Interstate 45 S
The Woodlands, TX 77384
Phone (936) 267-5000

Organizations & group practices 4

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": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1356970230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3117",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477303117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141028",
            "telephone_number": "812-491-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANNALD",
        "first_name": "SHELBY",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.