Wendy J. Shade, LCDCIII, ICADC
NPI 1619995511ActiveIndividual· Social Worker, Clinical· Kettering, OH
Social Worker, Clinical (LCDCIII, ICADC) in Kettering, Ohio, licensed in OH, with an NPI issued in July 2006.
Overview
| NPI | 1619995511 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCDCIII, ICADC |
| Sole proprietor | No |
| NPI issued | Jul 18, 2006 |
| Last updated in NPPES | Jun 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 21307 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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