Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE MICHAEL ANDERSON, LICDC-CS
ActiveMR. SHANE MICHAEL ANDERSON, LICDC-CS is a Case Manager healthcare provider located in WAVERLY, Ohio. NPI 1750513040 is currently active in the NPPES registry. Verify at CMS.
Case Manager · WAVERLY, OH
Registration Details
- NPI Number
- 1750513040
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2009 (16.969765453238 yrs)
- Last Updated
- Jul 8, 2025
- Licenses
-
081184 (OH)81184-CS (OH)
Practice Information
- Address
-
13800 US HIGHWAY 23WAVERLY, OH, 456909402Browse OH providers · Browse ZIP 45690
- Phone
- 7409478777
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Case Manager
Other Case Manager Providers in WAVERLY, OH
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA QUENTIN DUNCAN | CMS | 1427547504 |
| MS. PATRICIA MAY BARNETT | QMHS | 1053885616 |
| WHITLEY ARIEL TACKETT | — | 1740838531 |
| BRANDI BOLES | — | 1104431691 |
| BETSY KIDDER | LPN | 1609577162 |
| BRITTANI DANIELLE HILTERBRAN | — | 1235981044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.