Shane Anderson, LICDC-CS
NPI 1750513040 · Case Manager/Care Coordinator · Waverly, OH
Shane Anderson, LICDC-CS is a Case Manager/Care Coordinator provider in Waverly, OH (NPI 1750513040).
Provider details
- NPI number
- 1750513040
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- LICDC-CS
- Sex
- Male
- Sole proprietor
- No
- License
- 081184 (OH)
Specialties & taxonomies
Other Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 1643 Sr 104Chillicothe, OH 45601Phone: (740) 313-4133Fax: (740) 722-1784
- 601 S Edwin C Moses BlvdSamaritan Behavioral Health, 1st Floor Nw BldgDayton, OH 45417-3424Phone: (937) 734-8333Fax: (937) 734-4343
Registry dates
- Enumerated
- 2009-08-20
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Frequently asked questions
- What is Shane Anderson's NPI number?
- Shane Anderson's National Provider Identifier (NPI) is 1750513040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Anderson's specialty?
- Shane Anderson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Shane Anderson located?
- Shane Anderson's practice location on file with NPPES is 13800 US Highway 23, Waverly, OH 45690-9402.
- What is Shane Anderson's phone number?
- The practice phone number listed in the NPPES registry for Shane Anderson is (740) 947-8777.
- Is Shane Anderson's NPI active?
- Yes — Shane Anderson's NPI (1750513040) is active in the NPPES registry as of the last update on 2025-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.