Individual provider Active NPI

Shelby A Bravo

  • Clinical Social Worker
  • Greenville, OH
National Provider Identifier
1427720853
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2608217 Issued in OH
Practice address
100 Greenwave Way RM C110
Greenville, OH 45331-2383
Phone
(937) 548-9680
NPI assigned
Oct 4, 2021
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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 I.2608217 OH Primary

Addresses

Primary practice location

100 Greenwave Way RM C110
Greenville, OH 45331-2383

Mailing address

5735 Meeker Rd
Greenville, OH 45331-1186
Phone (937) 548-9680

Other practice location 1

1111 N Ohio St Rm 304
Greenville, OH 45331-2948
Phone (937) 548-9680

Other practice location 2

5735 Meeker Rd
Greenville, OH 45331-1186
Phone (937) 548-2953

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
S.2410287OHMDSocial Worker
S.2202757-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County, Inc. Past Accepting new patients
Foundations Behavioral Health Services, Inc. Past Accepting new patients
Family Health Services of Darke County, Inc. Past Accepting new patients

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, 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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1427720853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 MEEKER RD",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311186",
            "telephone_number": "937-548-9680",
            "fax_number": "937-548-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAVE WAY RM C110",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312383",
            "telephone_number": "937-548-9680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 N Ohio St Rm 304",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453312948",
            "country_code": "US",
            "telephone_number": "937-548-9680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5735 Meeker Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311186",
            "country_code": "US",
            "telephone_number": "937-548-2953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "SHELBY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2608217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.