Michelle Linn Shaffer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34000744A Issued in IN

Practice address

2345 S Lynhurst Dr
Indianapolis, IN 46241-8630

Phone

(317) 247-8900

Fax

(317) 381-0691

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Cummins Behavioral Health Systems, Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avon, IN
  • NPI 1740232115
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1972557734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 RIVERWOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462144029",
            "telephone_number": "317-387-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 S LYNHURST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462418630",
            "telephone_number": "317-247-8900",
            "fax_number": "317-381-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "MICHELLE",
        "middle_name": "LINN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34000744A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000744A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PROVIDER PIN",
            "identifier": "000000388454",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jane Shaffer, MA, BCBA
• Andrew Brett Shaffer, ATC
• Branden Shaffer, OD
• Essence Shanae Shaffer
• Hannah E Shaffer, NP
• Taylor M Shaffer, NP
• Anika Tahsin Shafie, MD
• Umber Shafique, MD
• Akshat Ritesh Shah
• Ankur Shah, DMD

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, 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 Jul 24, 2007; 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.