Emiley F.W. Shenk

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.1451349 Issued in OH

Practice address

5800 Monroe St Ste A1
Sylvania, OH 43560-2208

Phone

(419) 517-7073

Fax

(419) 517-0122

NPI assigned

Mar 12, 2007

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diana L Theiss PHD

  dba Sylvania Therapy and Counseling

  • Clinical Social Worker
  • Sylvania, OH
  • NPI 1396250338
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1669504676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-517-7073",
            "fax_number": "419-517-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A1",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-517-7073",
            "fax_number": "419-517-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENK",
        "first_name": "EMILEY",
        "middle_name": "F.W.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1451349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Shall, D.D.S., MD
• Stephen Mark Shall, D.D.S.
• Shang Y. Rhee, M.D. and Associates, Inc.
• David Shannon
• Joanna F Shaw, CNP
• Pamela J Sheridan, D.P.M.
• Christopher A Sherman, M.D.
• Brad Sheroian
• Jessica Jean Shimman, PHARM.D., R.PH.
• Martha G Shipe, CNP

• Clinical Social Worker in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.