Lori Ann Shaffer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1131 Manchester Ave
Middletown, OH 45042-1962

Phone

(513) 896-7887

NPI assigned

Sep 8, 2017

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Children'S Home of Cincinnati Ohio, IncGroup PAC ID 8729581640, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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.

• The Children'S Home of Cincinnati Ohio, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1134278518
  Medicare reassignment Care Compare group
• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1053377184
  Medicare reassignment NPD
• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1801373428
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1689192734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113335",
            "telephone_number": "513-881-7189",
            "fax_number": "513-881-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 MANCHESTER AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421962",
            "telephone_number": "513-896-7887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450113305",
            "country_code": "US",
            "telephone_number": "513-896-7887",
            "fax_number": "513-896-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Alan Sellers
• Semma Enterprises, Inc
• Semma Enterprises, Inc.
• Seva Dental Ohio II LLC
• Steven Alexander Shadwick, O.D.
• Chirag Ashvin Shah, MD
• Dharika Pareshkumar Shah, DO
• Christine Shamoon, QMHS
• Morgan D. Shankle, DMD
• Stephanie Shanks, QMHS/ CM

• Clinical Social Worker in Middletown, OH
• Providers in Middletown, 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 Jul 1, 2024; 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.