Active NPI
Shanice Nicole Avery
- Social Worker
- Greensburg, PA
National Provider Identifier
1407598279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW025698
- Practice address
- 203 S Maple Ave
Greensburg, PA 15601-3216 - Phone
- (724) 834-0420
- NPI assigned
- Apr 11, 2022
- Last updated
- Mar 5, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CW025698 | PA | Primary |
Addresses
Primary practice location
203 S Maple Ave
Greensburg, PA 15601-3216
Mailing address
138 Elmur Dr Apt 807
Greensburg, PA 15601-6172
Phone (724) 374-8446
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW025698 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Pennsylvania Counseling Services, LLC | Past | Accepting new patients | |
| Post Acute Recovery, Inc. | Past | Accepting new patients |
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.
-
dba Forge Health
- Substance Abuse Rehabilitation Facility
- Greensburg, PA
- NPI 1801337209
-
dba Strive Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Paramus, NJ
- NPI 1881210755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1407598279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 ELMUR DR APT 807",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016172",
"telephone_number": "724-374-8446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S MAPLE AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156013216",
"telephone_number": "724-834-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "SHANICE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW025698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.