Individual provider Active NPI

Rachel E. Shields, LISW-S

  • Clinical Social Worker
  • Perrysburg, OH
National Provider Identifier
1831687318
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002474-SUPV Issued in OH
Practice address
27457 Holiday LN Ste H
Perrysburg, OH 43551-3300
Phone
(567) 358-0089
NPI assigned
Apr 30, 2018
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 I.2002474-SUPV OH Primary

Addresses

Primary practice location

27457 Holiday LN Ste H
Perrysburg, OH 43551-3300

Mailing address

27457 Holiday LN Ste H
Perrysburg, OH 43551-3300
Phone (567) 358-0089

Other practice location 1

6832 Convent Blvd
Sylvania, OH 43560-4805
Phone (419) 882-4529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2002474-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Therapy Services, LLC Current Accepting new patients

Locations

27457 Holiday Ln
Ste H
Perrysburg, OH 43551
Phone (419) 315-3102

Organizations & group practices 1

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1831687318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27457 HOLIDAY LN STE H",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513300",
            "telephone_number": "567-358-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27457 HOLIDAY LN STE H",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513300",
            "telephone_number": "567-358-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6832 Convent Blvd",
            "address_purpose": "LOCATION",
            "city": "Sylvania",
            "state": "OH",
            "postal_code": "435604805",
            "country_code": "US",
            "telephone_number": "419-882-4529",
            "fax_number": "419-885-7612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "RACHEL",
        "middle_name": "E.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002474-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.