Individual provider Active NPI

Shaina C Theis, LCSW

  • Clinical Social Worker
  • Vanceburg, KY
National Provider Identifier
1649925017
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
256482 Issued in KY
Practice address
211 Ky 59
Vanceburg, KY 41179-7647
Phone
(606) 796-3029
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 256482 KY Primary

Addresses

Primary practice location

211 Ky 59
Vanceburg, KY 41179-7647

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Other practice location 1

730 Kenton Station Rd
Maysville, KY 41056-9619
Phone (606) 301-1374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20230428000741 KY Practitioner - Clinical Social Worker 5193180008 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lewis County Primary Care Center, IncGroup PAC ID 1153311774, 86 clinicians

Practice addresses (Care Compare)

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

PO Box
Suite 550
Vanceburg, KY 41179

PO Box
Suite 550
Vanceburg, KY 41179-0550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
256482KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Counseling Services CurrentSince Nov 25, 2022 Accepting new patients
As You Are Therapy Group LLC Clinical CurrentSince Jul 22, 2025 Accepting new patients

Locations

501 Darby Creek Rd
Ste 40
Lexington, KY 40509
Phone (859) 412-1536

730 Kenton Station Rd
Maysville, KY 41056
Phone (606) 301-1374

399 W Maple Leaf Rd
Maysville, KY 41056
Phone (606) 564-4371

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1649925017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KY 59",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411797647",
            "telephone_number": "606-796-3029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Kenton Station Rd",
            "address_purpose": "LOCATION",
            "city": "Maysville",
            "state": "KY",
            "postal_code": "410569619",
            "country_code": "US",
            "telephone_number": "606-301-1374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEIS",
        "first_name": "SHAINA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceburg, KY

Sources for this page

Verify at the official NPI Registry.