Individual provider Active NPI

Shirley Nafziger-Lyne, MSW LCSW

  • Clinical Social Worker
  • Owensboro, KY
National Provider Identifier
1811067267
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4018 Issued in KY
Practice address
811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258
Phone
(270) 688-2077
Fax
(270) 688-2078
NPI assigned
Nov 9, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 4018 KY Primary

Addresses

Primary practice location

811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 691-8070

Other identifiers 1

IdentifierTypeStateIssuer
101835320 0001MedicaidPA

Other names 1

  • Shirley Nafziger-Lyne Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snafzigerlyne53949@direct.owensborohealth.org Owensboro Health Medical Group, Inc.

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
I20150915000300 KY Practitioner - Clinical Social Worker 4789860875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2211 Mayfair Dr
Suite 409
Owensboro, KY 42301-4570
Phone (270) 417-7980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4018KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1811067267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-691-8070",
            "fax_number": "277-069-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE STE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258",
            "telephone_number": "270-688-2077",
            "fax_number": "270-688-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFZIGER-LYNE",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "MSW  LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101835320 0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snafzigerlyne53949@direct.owensborohealth.org",
            "affiliation": "Y",
            "affiliationName": "Owensboro Health Medical Group, Inc.",
            "address_1": "811 E Parrish Ave Ste 102",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423033258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "NAFZIGER-LYNE",
            "credential": "MSW LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.