Shelby Doyle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59322 Issued in TX

Practice address

128 Vision Park Blvd Ste 230
Shenandoah, TX 77384-3018

Phone

(832) 346-8082

NPI assigned

Nov 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thrive Mental Health PLLC

  • Mental Health Counselor
  • Shenandoah, TX
  • NPI 1447978259

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1497462386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VINCA TRL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773825753",
            "telephone_number": "210-838-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 VISION PARK BLVD STE 230",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843018",
            "telephone_number": "832-346-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SHELBY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Distinctive Physical Therapy and Wellness Center PLLC
• Tiffany DO, M.A., CCC-SLP
• Jamie Respondek Doan, FNP-C
• Kendel Dolen, FNP
• Lindsay Marie Domangue, PA
• Dr. a Family Clinic
• Danielle Schimpf Dubiel, PA-C
• Zoe Dubose
• Tristyn Duffy, RN
• Claudine De Dios Dumandan, M.D.

• Clinical Social Worker in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.