Andrea M Shook, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34003254A Issued in IN

Practice address

701 N. Englewood Drive
Crawfordsville, IN 47933

Phone

(765) 361-9767

Fax

(765) 361-0374

NPI assigned

Jun 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Clinical Social Worker

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deer Oaks Illinois LLCGroup PAC ID 8628375730, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.83 of 100Reported as group

Quality

77.43

Improvement activities

40

Cost

70.81

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Deer Oaks West LLC

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1316345291

  IN

  Medicare reassignment Care Compare group NPD
• The Health and Hospital Corporation of Marion County

  • Nurse Practitioner
  • Indianapolis, IN
  • NPI 1104027879
  Medicare reassignment NPD
• Onhealthcare LLC

  • Podiatrist
  • Indianapolis, IN
  • NPI 1952677353
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1528007192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N FRENCH ST",
            "city": "SULLIVAN",
            "state": "IN",
            "postal_code": "478821424",
            "telephone_number": "812-268-4805",
            "fax_number": "812-242-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N. ENGLEWOOD DRIVE",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-361-9767",
            "fax_number": "765-361-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34003254A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER PIN",
            "identifier": "000000343921",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamryn Servies
• Mohammed Sharafeldien, DDS
• Jaysee Shaw
• Leslie Jensen Sheeler, LCSW
• Hannah Jean Shideler
• Matthew Scott Short, PHARM. D.
• Danelle Shubert, COTA
• Ashley Shuler, LMHC,LCAC
• Richard David Shults, PA-C
• Simmons Psychiatry LLC

• Clinical Social Worker in Crawfordsville, IN
• Providers in Crawfordsville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.