Active NPI
Thomas W. Shupe
- Social Worker
- Cleveland, OH
National Provider Identifier
1801254420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S 1302928
- Practice address
- 4400 Euclid Ave
Cleveland, OH 44103-3734 - Phone
- (216) 432-7200
- Fax
- (216) 432-7253
- NPI assigned
- Feb 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S 1302928 | OH | Primary |
Addresses
Primary practice location
4400 Euclid Ave
Cleveland, OH 44103-3734
Mailing address
4500 Euclid Ave
Cleveland, OH 44103-3736
Phone (216) 432-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S 1302928 | Other | STATE LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 1302928 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Health Services | Current | Accepting new patients | |
| Circle Health Services | Current | Accepting new patients | |
| Circle Health Services | Past | Accepting new patients |
Locations
4500 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9404
4400 Euclid Ave
Cleveland, OH 44103
Phone (216) 325-9355
12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846
3929 Rocky River Dr
Cleveland, OH 44111
Phone (216) 252-5800
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.
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1386609857
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1396552949
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1568978948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1801254420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033736",
"telephone_number": "216-432-7200",
"fax_number": "216-432-7253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441033734",
"telephone_number": "216-432-7200",
"fax_number": "216-432-7253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUPE",
"first_name": "THOMAS",
"middle_name": "W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-10",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S 1302928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "S 1302928",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.