Individual provider Active NPI

Shelly Beth Baer, LCSW

  • Clinical Social Worker
  • Paducah, KY
National Provider Identifier
1396273272
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252437 Issued in KY
Practice address
2327 New Holt Rd
Paducah, KY 42001-7404
Phone
(270) 534-5128
Fax
(270) 477-0007
NPI assigned
May 23, 2017
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 252437 KY Primary

Addresses

Primary practice location

2327 New Holt Rd
Paducah, KY 42001-7404

Mailing address

5050 Village Square Dr Ste B
Paducah, KY 42001-7552
Phone (270) 534-5128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210827002894 KY Practitioner - Clinical Social Worker 1557786662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emerald Therapy Center LLCGroup PAC ID 6103241211, 16 clinicians

Practice addresses (Care Compare)

5050 Village Square Dr
Suite B
Paducah, KY 42001-7552
Phone (270) 534-5128

Merit-based Incentive Payment System (MIPS)

Final score
24.26 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Therapy Center, LLC CurrentSince Mar 23, 2021 Accepting new patients
Emerald Therapy Center, LLC Clinical CurrentSince Mar 23, 2021 Accepting new patients

Locations

1019 Paducah Rd
Ste C
Mayfield, KY 42066
Phone (270) 534-5128

1640 McCracken Blvd
Ste 200
Paducah, KY 42001
Phone (270) 534-5128

2327 New Holt Rd
Paducah, KY 42001
Phone (270) 534-5128

3227 Coleman Rd
Paducah, KY 42001
Phone (270) 442-6399

5050 Village Square Dr
Ste B
Paducah, KY 42001
Phone (270) 443-0681

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1396273272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 VILLAGE SQUARE DR STE B",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017552",
            "telephone_number": "270-534-5128",
            "fax_number": "270-477-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2327 NEW HOLT RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017404",
            "telephone_number": "270-534-5128",
            "fax_number": "270-477-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAER",
        "first_name": "SHELLY",
        "middle_name": "BETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.