Individual provider Active NPI

Molly Elizabeth Shepherd, MSW, LISW

  • Clinical Social Worker
  • Van Wert, OH
National Provider Identifier
1952488249
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I10252 Issued in OH
Practice address
1158 Westwood Dr
Van Wert, OH 45891-2449
Phone
(419) 238-3434
Fax
(419) 238-1356
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 I10252 OH Primary

Addresses

Primary practice location

1158 Westwood Dr
Van Wert, OH 45891-2449

Mailing address

314 N Jefferson St
Van Wert, OH 45891-1145
Phone (419) 203-0591

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
I20050614000105 OH Practitioner - Clinical Social Worker 1850335605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1158 Westwood Dr
Van Wert, OH 45891-2449
Phone (419) 238-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I10252OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Behavioral Health Center, Inc. CurrentSince Jan 20, 2005 Accepting new patients
Westwood Behavioral Health Center, Inc. CurrentSince Jan 20, 2005 Accepting new patients
Paulding Counseling Center Past Accepting new patients

Locations

501 Mc Donald Pike
Paulding, OH 45879
Phone (419) 238-3434

1158 Westwood Dr
Van Wert, OH 45891
Phone (419) 238-3434

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952488249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N JEFFERSON ST",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911145",
            "telephone_number": "419-203-0591",
            "fax_number": "419-238-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 WESTWOOD DR",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912449",
            "telephone_number": "419-238-3434",
            "fax_number": "419-238-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Wert, OH

Sources for this page

Verify at the official NPI Registry.