Individual provider Active NPI

Shantel Ball, LCSW

  • Clinical Social Worker
  • Connersville, IN
National Provider Identifier
1619632163
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009213A Issued in IN
Practice address
712 E Old Orchard LN
Connersville, IN 47331
Phone
(765) 265-9494
NPI assigned
Nov 1, 2021
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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 34009213A IN Primary

Addresses

Primary practice location

712 E Old Orchard LN
Connersville, IN 47331

Mailing address

712 E Old Orchard LN
Connersville, IN 47331-3245
Phone (765) 265-9494

Other practice location 1

1400 N Cherry St
Rushville, IN 46173-1097
Phone (765) 932-3974

Other names 1

  • Shantel Lewis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1619632163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 E OLD ORCHARD LN",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473313245",
            "telephone_number": "765-265-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 E OLD ORCHARD LN",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "47331",
            "telephone_number": "765-265-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Rushville",
            "state": "IN",
            "postal_code": "461731097",
            "country_code": "US",
            "telephone_number": "765-932-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "SHANTEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009213A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTEL",
            "last_name": "LEWIS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Connersville, IN

Sources for this page

Verify at the official NPI Registry.