Shelley Small, CASE MANAGER
Individual provider Active NPI Case Manager/Care Coordinator · Valley City, OH
NPI 1497445837 · NPPES record last updated Sep 5, 2024
Key facts
- NPI
- 1497445837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 322 W River Rd
Valley City, OH 44280-9575 - Phone
- (216) 319-9583
- NPI assigned
- May 9, 2023
- Reactivated
- Apr 11, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.161513-M-IV | OH | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | PN.161513-M-IV | OH | |
| Case Manager/Care Coordinator | 171M00000X | OH | Yes |
Addresses
Primary practice location
322 W River Rd
Valley City, OH 44280-9575
Mailing address
322 W River Rd
Valley City, OH 44280-9575
Phone (216) 319-9583
Other providers in Valley City, OH
- Suzanne W Powell
- Nathan Pozderac
- Anne M Schwartz
- James Sekerak
- Self-Directed Living, LLC
- Lauren Smith
- Mary Anna Spengler
- Cheryl Stuart
- Jacob G Swan
- The Cleveland Clinic
All providers in Valley City, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.