Active NPI
Shelbie Danielle Auberry
- Clinical Social Worker
- Evansville, IN
National Provider Identifier
1386377182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34010262A
- Practice address
- 7300 E Indiana St Ste 103
Evansville, IN 47715-7448 - Phone
- (216) 468-5000
- NPI assigned
- Jul 8, 2022
- Last updated
- Dec 18, 2023
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34010262A | IN | Primary |
Addresses
Primary practice location
7300 E Indiana St Ste 103
Evansville, IN 47715-7448
Mailing address
1724 Bellemeade Ave
Evansville, IN 47714-2102
Phone (812) 646-0858
Other practice location 1
1724 Bellemeade Ave
Evansville, IN 47714-2102
Phone (812) 646-0858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34010262A | Other | IN | LICENSE |
Other names 1
- Shelbie Danielle Auberry
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shelbie@childtherapylab.com | Direct | |
| Direct Messaging Address | shelbie@childtherapylab.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010262A | IN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enchanted Healing Hub LLC | Clinical | Current | Accepting new patients |
| Shelbie Auberry Consulting LLC | Clinical | Past | Accepting new patients |
Locations
312 NW Mlk Blvd
Evansville, IN 47708
Phone (270) 302-5906
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Evansville, IN
- NPI 1942176755
-
- Clinical Social Worker
- Evansville, IN
- NPI 1043011026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1386377182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 BELLEMEADE AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142102",
"telephone_number": "812-646-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 E INDIANA ST STE 103",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477157448",
"telephone_number": "216-468-5000"
}
],
"practiceLocations": [
{
"address_1": "1724 Bellemeade Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477142102",
"country_code": "US",
"telephone_number": "812-646-0858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUBERRY",
"first_name": "SHELBIE",
"middle_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34010262A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "34010262A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelbie@childtherapylab.com",
"affiliation": "N",
"endpointDescription": "Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "shelbie@childtherapylab.com",
"address_1": "1724 Bellemeade Ave",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477142102",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shelbie@childtherapylab.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "shelbie@childtherapylab.com",
"address_1": "1724 Bellemeade Ave",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477142102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SHELBIE",
"last_name": "AUBERRY",
"middle_name": "DANIELLE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.