Shane Michael Anderson , LICDC-CS
Case Manager/Care Coordinator β’ Waverly, OH
13800 Us Highway 23
Waverly, OH 456909402
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
13800 Us Highway 23
Waverly, OH 456909402
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Chillicothe, OH; Dayton, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Case Manager/Care Coordinator: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2009
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Waverly and Ohio
10 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Waverly, OH (35,328 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
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: 2025-07-08NUCC Taxonomy Code: 171M00000X
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
NUCC Taxonomy Code: 101YA0400X
NUCC Taxonomy Code: 101YA0400X
NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Practice Locations
601 S Edwin C Moses Blvd, Samaritan Behavioral Health, 1st Floor Nw Bldg
Dayton, OH 454173424
Phone: 9377348333
1643 Sr 104
Chillicothe, OH 45601
Phone: 7403134133
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 13800 US HIGHWAY 23, WAVERLY, OH 456909402 (Tel: 7409478777)
Registered at PO BOX 799, PIKETON, OH 456610799 (Tel: 7402892374)
Counselor (license number reported to NPPES: OH 081184)
Registered at 1643 SR 104, CHILLICOTHE, OH 45601 (Tel: 7403134133)
Registered at 1643 SR 104, CHILLICOTHE, OH 45601 (Tel: 7403134133)
NPI status registered as active in NPPES database
Registered at 601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, 1ST FLOOR NW BLDG, DAYTON, OH 454173424 (Tel: 9377348333)
Registered at 601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, 1ST FLOOR NW BLDG, DAYTON, OH 454173424 (Tel: 9377348333)
Recorded as SHANE ANDERSON, LICDC-CS
Counselor (license number reported to NPPES: OH 81184-CS)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 799
Piketon, OH 456610799
Phone: 7402892374