Individual provider Active NPI

Shirley Ziser, LCSW

  • Clinical Social Worker
  • Apo Ap, GU
National Provider Identifier
1376985994
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5070 Issued in KY
Practice address
36TH Medical Group
Unit 14010 BLDG. 26012
Apo Ap, GU 96543-4003
Phone
(315) 366-3326
NPI assigned
Jul 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5070 KY
Clinical Social Worker 1041C0700X 5070 KY Primary

Addresses

Primary practice location

36TH Medical Group
Unit 14010 BLDG. 26012
Apo Ap, GU 96543-4003

Mailing address

Unit 14010
Apo, AP 96543-4010

Other practice location 1

155 W Seminary St
Owenton, KY 40359-1573
Phone (502) 484-3464

Other identifiers 1

IdentifierTypeStateIssuer
610661458OtherKYTAX ID

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

LicenseStateTypeSpecialty
5070KYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Kentucky Mental Health Mental Retardation Regional Board Past Accepting new patients

Organizations & group practices 1

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1376985994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 14010",
            "city": "APO",
            "state": "AP",
            "postal_code": "965434010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36TH MEDICAL GROUP",
            "address_2": "UNIT 14010 BLDG. 26012",
            "city": "APO AP",
            "state": "GU",
            "postal_code": "965434003",
            "telephone_number": "315-366-3326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W Seminary St",
            "address_purpose": "LOCATION",
            "city": "Owenton",
            "state": "KY",
            "postal_code": "403591573",
            "country_code": "US",
            "telephone_number": "502-484-3464",
            "fax_number": "502-484-0894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZISER",
        "first_name": "SHIRLEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "5070",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "5070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "610661458",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.