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Kelsey Shepherd , LSW, LICDC

Social Worker β€’ Athens, OH

Active NPI 1699276709 Individual Practitioner Female Practitioner
Practice location in NPPES

400 E State St Ste D
Athens, OH 457011870

Call 7403266110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

400 E State St Ste D

Athens, OH 457011870

Telephone 7403266110
Organization at the Same NPPES Address or Phone
Anew Behavioral Health, Llc Facility NPI 1215554779

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Athens and Ohio

189 active clinicians are listed under Social Worker with a practice address in Athens, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

0% of these 189 clinicians have the CMS telehealth indicator.

1.6% of these 189 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-18
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2207753

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH LICDC.162651
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Kc Montoya

Social Worker - Clinical

NPI 1194232652

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location June 18, 2025

Registered at 400 E STATE ST STE D, ATHENS, OH 457011870 (Tel: 7403266110)

πŸ“
Updated Business Mailing Address June 18, 2025

Registered at 3938 ROSEMOUNT RD, PORTSMOUTH, OH 456625057 (Tel: 7409780348)

πŸ‘€
Provider Name / Credentials Updated June 18, 2025

Recorded as KELSEY SHEPHERD, LSW, LICDC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2025

Social Worker (license number reported to NPPES: OH S.2207753)

πŸ“
Updated Practice Location September 27, 2019

Registered at 411 COURT ST, PORTSMOUTH, OH 45662 (Tel: 7403546685)

πŸ“
Updated Business Mailing Address September 27, 2019

Registered at 923 FINDLAY ST, PORTSMOUTH, OH 456624148 (Tel: 7403546685)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Counselor (license number reported to NPPES: None QMHS)

βœ…
NPI Profile Active February 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 23, 2018

Registered at 800 GALLIA ST STE 600, PORTSMOUTH, OH 456624097 (Tel: 7403534673)

πŸ“
Business Mailing Address (Initial Record) February 23, 2018

Registered at 800 GALLIA ST STE 600, PORTSMOUTH, OH 456624097

πŸ‘€
Provider Name / Credentials (Initial Record) February 23, 2018

Recorded as KELSEY SHEPHERD, LCDC-II

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2018

Counselor (license number reported to NPPES: OH LCDCII.161341)

🟒
Initial NPI Registration & Enumeration February 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699276709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2018
Last Update: June 18, 2025
Sole Proprietor: Yes

Mailing Address

3938 Rosemount Rd

Portsmouth, OH 456625057

Phone: 7409780348

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.