Shelley Cook, LCSW – Clinical Social Worker

Key facts

NPI: 1386406205
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 34010830A (IN)
Practice address: 8804 E Liberty Dr
Selma, IN 47383-9543
Phone: (765) 749-6319
NPI assigned: Jan 25, 2024
Sex: Female
Sole proprietor: Yes

Organizations & group practices 3

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.

Centerstone of Indiana, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IN · NPI 1992781470

Medicare reassignment Care Compare group NPD IN
Extended Care Specialists, Inc Adult Medicine Physician · Merrillville, IN · NPI 1134146079

Medicare reassignment NPD CLINICAL · IN
Centerstone of Indiana, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IN · NPI 1972320224

NPD

Medicare Care Compare profile

Specialty: Clinical Social Worker
Education: Other, 2020
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Centerstone of Indiana Inc (114 clinicians)

Practice addresses (Care Compare)

1200 S Tillotson Opas
Muncie, IN 47304-4806
Phone (765) 288-1790

720 N Marr Rd
Columbus, IN 47201-6660
Phone (812) 314-3400

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240319001015	IN	Practitioner - Clinical Social Worker	2163869777	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
34010830A	IN	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Centerstone of Indiana, Inc.		Current since Feb 13, 2024	Accepting new patients
Extended Care Specialists, Inc	Clinical	Current since Aug 1, 2025	Accepting new patients
Centerstone of Indiana, Inc.		Current since Feb 13, 2024	Accepting new patients

Locations

720 N Marr Rd
Columbus, IN 47201
Phone (812) 314-3400

8398 Mississippi St
Fl 2
Merrillville, IN 46410

1200 S Tillotson Opas
Muncie, IN 47304
Phone (765) 282-1461

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X
Clinical Social Worker	1041C0700X	34010830A	IN	Yes

Addresses

Primary practice location

8804 E Liberty Dr
Selma, IN 47383-9543

Mailing address

8804 E Liberty Dr
Selma, IN 47383-9543
Phone (765) 749-6319

Other providers in Selma, IN

All providers in Selma, IN · Clinical Social Worker in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.