Individual provider Active NPI

Shelove Andou

  • Social Worker
  • Chambersburg, PA
National Provider Identifier
1992950935
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
19366 Issued in MD
Practice address
958 Alandale Dr
Chambersburg, PA 17202-6800
Phone
(717) 446-9140
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135853 PA
Social Worker 104100000X BP00945081 WV
Social Worker 104100000X 19366 MD Primary

Addresses

Primary practice location

958 Alandale Dr
Chambersburg, PA 17202-6800

Mailing address

958 Alandale Dr
Chambersburg, PA 17202-6800
Phone (717) 446-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20260501001082 DC Practitioner - Clinical Social Worker 2769950369 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
Group practices
Lynsene Care LLCGroup PAC ID 8628430543, 4 clinicians

Practice addresses (Care Compare)

19650 Club House Rd
Suite 202 a
Montgomery Village, MD 20886-3003
Phone (301) 337-9642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW135853PAMDSocial Worker
BP00945081WVMDSocial Worker
19366MDMDPharmacist

Organizations & group practices 1

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1992950935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 ALANDALE DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172026800",
            "telephone_number": "717-446-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 ALANDALE DR",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172026800",
            "telephone_number": "717-446-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOU",
        "first_name": "SHELOVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135853",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945081",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "19366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.