Active NPI
Ann Marie Shafner, LSW
- Social Worker
- Union, OH
National Provider Identifier
1568955086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0019152
- Practice address
- 100 E Martindale Rd
Union, OH 45322-3306 - Phone
- (937) 545-1729
- NPI assigned
- Jun 9, 2018
- Last updated
- Jun 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 0019152 | OH | Primary |
Addresses
Primary practice location
100 E Martindale Rd
Union, OH 45322-3306
Mailing address
100 E Martindale Rd
Union, OH 45322-3306
Phone (937) 545-1729
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 |
|---|---|---|---|
| 0019152 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528502400000",
"number": "1568955086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E MARTINDALE RD",
"city": "UNION",
"state": "OH",
"postal_code": "453223306",
"telephone_number": "937-545-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MARTINDALE RD",
"city": "UNION",
"state": "OH",
"postal_code": "453223306",
"telephone_number": "937-545-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFNER",
"first_name": "ANN",
"middle_name": "MARIE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-09",
"last_updated": "2018-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "0019152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.