Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619995511 Individual Practitioner Female Practitioner

Wendy J Shade , LCDCIII, ICADC

Social Worker - Clinical • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Wendy Shade, LCDCIII, ICADC is a registered healthcare professional specializing in Social Worker - Clinical in Kettering, OH. Practice services are available at 3017 GLENMERE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3017 Glenmere Ct

Kettering, OH 454401312

Telephone 9999999999
Associated Practice Facility / Clinic
🏢 First Step, Inc Facility NPI 1679533905

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Kettering, OH (10077 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License OH 21307

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Chloe Camarena

Social Worker - Clinical

NPI 1003599143
Barbara Caldwell , APRN

Nurse Practitioner - Women's Health

NPI 1003898032

Advanced Practice Registered Nurse

Mia Galassi , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582055

Certified Registered Nurse Anesthetist

Tabbatha Johnson

Behavior Technician

NPI 1013670793
Dr. Jonathan Forrest , MD

Internal Medicine

NPI 1013855097

Doctor of Medicine (M.D.)

Dr. Uzma Usman , MD

Psychiatry & Neurology - Neuromuscular Medicine

NPI 1023371689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2009

Registered at 3017 GLENMERE CT, KETTERING, OH 454401312 (Tel: 9999999999)

📍
Updated Business Mailing Address June 15, 2009

Registered at 3017 GLENMERE CT, KETTERING, OH 454401312

👤
Provider Name / Credentials Updated June 15, 2009

Recorded as WENDY SHADE, LCDCIII, ICADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2009

Social Worker (License #21307 in OH)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619995511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: June 15, 2009
Sole Proprietor: No

Mailing Address

3017 Glenmere Ct

Kettering, OH 454401312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.