Shelby Geyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011597A Issued in IN

Practice address

611 Lincoln Way E Ste 200
South Bend, IN 46601-3215

Phone

(574) 360-4066

Fax

(866) 843-2486

NPI assigned

Jun 2, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Positive Change, Inc

  • Mental Health Counselor
  • South Bend, IN
  • NPI 1326392150
  NPD (past)

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1962395582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013215",
            "telephone_number": "574-360-4066",
            "fax_number": "866-843-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LINCOLN WAY E STE 200",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466013215",
            "telephone_number": "574-360-4066",
            "fax_number": "866-843-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEYER",
        "first_name": "SHELBY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34011597A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011597A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Gerald, PHARMD
• Steve L Gerber, M.D.
• Nita Gerig, M.D.
• Elise Carol Gettleman, PT, PCS
• Sarah E Geyer, PMHNP
• Kayla Marie Gibbons
• Jennie Lynn Gibson, PA-C
• Michelle Gibson, MS, LMHCA
• Toni Gibson
• Gregory Carden Gifford, M.D.

• Clinical Social Worker in South Bend, IN
• Providers in South Bend, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.