Individual provider Active NPI

Christine Serafini Sheffield, CSW

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1730730532
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255160 Issued in KY
Practice address
1011 Lehman Ave Ste 103
Bowling Green, KY 42103-6515
Phone
(270) 393-9834
Fax
(270) 393-9835
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6185 KY
Clinical Social Worker 1041C0700X 255160 KY Primary

Addresses

Primary practice location

1011 Lehman Ave Ste 103
Bowling Green, KY 42103-6515

Mailing address

1011 Lehman Ave Ste 103
Bowling Green, KY 42103-6515
Phone (270) 393-9834

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
I20230328002387 KY Practitioner - Clinical Social Worker 6800260175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Fane Agency LLCPGroup PAC ID 5496150526, 3 clinicians

Practice addresses (Care Compare)

1011 Lehman Ave
Suite 103
Bowling Green, KY 42103-6515
Phone (270) 393-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6185KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Fane Agency, LLCP CurrentSince Mar 8, 2023 Accepting new patients
Wilson Counseling LLC Clinical Past Accepting new patients

Locations

1011 Lehman Ave
Ste 103
Bowling Green, KY 42103
Phone (270) 393-9833

Organizations & group practices 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1730730532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-393-9834",
            "fax_number": "270-393-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LEHMAN AVE STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036515",
            "telephone_number": "270-393-9834",
            "fax_number": "270-393-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINI SHEFFIELD",
        "first_name": "CHRISTINE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "6185",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.