SHELBY ERIN HAISLEY LSW
NPI 1083181333
Social Worker in Muncie, IN

Q: What is Shelby Haisley's NPI number?

The NPI number for Shelby Haisley is 1083181333. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Q: What is Shelby Haisley's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Haisley was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 25, 2018PECOS Enrolled

240 N TILLOTSON AVE, MUNCIE, IN 47304(765) 288-1928(765) 741-0340 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shelby Erin Haisley Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELBY ERIN HAISLEY LSW (NPI 1083181333) is an individual social worker in Muncie, Indiana, licensed in Indiana (33008968A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083181333

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameSHELBY ERIN HAISLEYCredential: LSW

Location Address240 N TILLOTSON AVEMuncie, IN 47304-3988

Mailing Address7971 S 100 WFairmount, IN 46928-9713 · (765) 618-3222

Phone(765) 288-1928

Fax(765) 741-0340

Sole ProprietorNo

Enumeration DateOctober 25, 2018

✔ NPI 1083181333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in IN · 33008968A

Definition

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.

240 N TILLOTSON AVE, Muncie, IN 47304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Erin Haisley Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shelby Haisley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bowen Health Inc

61 mi

Federally Qualified Health Center (FQHC)

201 E RUDISILL BLVD
Fort Wayne, IN 46806

Reassigned Medicare billing, Indiana enrollment
260 clinicians in this Medicare group

NPI 1023668183 (800) 342-5653

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SASHA N SANTIAGO

Counselor (Mental Health)