Individual provider Active NPI

Caleb Shanks, LSW

  • Clinical Social Worker
  • Napoleon, OH
National Provider Identifier
1831698596
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
219 E Washington St
Napoleon, OH 43545-1698
Phone
(419) 592-0540
NPI assigned
Feb 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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 Primary

Addresses

Primary practice location

219 E Washington St
Napoleon, OH 43545-1698

Mailing address

219 E Washington St
Napoleon, OH 43545-1698

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000284 OH Practitioner - Clinical Social Worker 2860886363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maumee Valley Guidance Center Inc. CurrentSince Dec 27, 2021 Accepting new patients
Center for Child and Family Advocacy PastSince Dec 1, 2017 Accepting new patients

Locations

910 E Maple St
Bryan, OH 43506
Phone (419) 636-2932

211 Biede Ave
Defiance, OH 43512
Phone (419) 782-8856

1325 Woodlawn Ave
Napoleon, OH 43545
Phone (410) 592-1500

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": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1831698596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E WASHINGTON ST",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E WASHINGTON ST",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451698",
            "telephone_number": "419-592-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "CALEB",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.