Alexander Michael Shaffer, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

33010500A Issued in IN

Practice address

8626 E 116TH St Ste 250
Fishers, IN 46038-2853

Phone

(317) 759-4550

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1922767029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DOUGLAS DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460332324",
            "telephone_number": "317-696-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8626 E 116TH ST STE 250",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382853",
            "telephone_number": "317-759-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33010500A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.therapyappointment.com/",
            "affiliation": "N",
            "address_1": "8626 E 116th St Ste 250",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460382853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Nicole Severs, PSYD
• Stephen B Sexson, M.D.
• SFH1, LLC (Spavia Fishers)
• Charisse F Shafer, NP
• Josiah Shafer
• Anjali P Shah, O.D.
• Parini Shah
• Noah Shaikh, MD
• Melany Shampo
• Margaret Shanley

• Social Worker in Fishers, IN
• Providers in Fishers, IN by specialty
• Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.