What is Wendy Shade's NPI number?

Wendy Shade's National Provider Identifier (NPI) is 1619995511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wendy Shade's specialty?

Wendy Shade is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Wendy Shade located?

Wendy Shade's practice location on file with NPPES is 3017 Glenmere Ct, Kettering, OH 45440-1312.

What is Wendy Shade's phone number?

The practice phone number listed in the NPPES registry for Wendy Shade is (999) 999-9999.

Is Wendy Shade's NPI active?

Yes — Wendy Shade's NPI (1619995511) is active in the NPPES registry as of the last update on 2009-06-15.

IndividualActive

Wendy Shade, LCDCIII, ICADC

NPI 1619995511 · Clinical Social Worker · Kettering, OH

Wendy Shade, LCDCIII, ICADC is a Clinical Social Worker provider in Kettering, OH (NPI 1619995511).

Provider details

NPI number: 1619995511
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCDCIII, ICADC
Sex: Female
Sole proprietor: No
License: 21307 (OH)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 21307 (OH)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3017 Glenmere Ct

Kettering, OH 45440-1312

Phone: (999) 999-9999

Street-level locationGet directions

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Mailing address