SHINY TRIANGLE LCSW PC
NPI 1164175105
Social Worker - Clinical in Cincinnati, OH
About Shiny Triangle Lcsw Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHINY TRIANGLE LCSW PC (NPI 1164175105) is a healthcare organization registered as a clinical in Cincinnati, Ohio and active in the NPI registry since January 2022. The organization maintains a secondary practice location in Spring Valley and lists Samuel Weiser, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shiny Triangle Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Shiny Triangle Lcsw PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shiny Triangle Lcsw PC's NPI number?
The NPI number for Shiny Triangle Lcsw PC is 1164175105. It was assigned to this organization in the NPPES registry on January 31, 2022.
Where is Shiny Triangle Lcsw PC located?
Shiny Triangle Lcsw PC is located at 1171 Towne St, Cincinnati, OH 45216. The listed phone number is (212) 734-6621.
What is Shiny Triangle Lcsw PC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Shiny Triangle Lcsw PC enrolled in Medicare?
Yes. Shiny Triangle Lcsw PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shiny Triangle Lcsw PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Shiny Triangle Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (7) and Clinical Psychologist (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Shiny Triangle Lcsw PC was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shiny Triangle Lcsw Pc · NPI 1164175105
Clinical organization in Cincinnati, Ohio. Organization record, active in the CMS NPPES registry since January 31, 2022.
## Identity
- **NPI:** 1164175105 (Entity type: Organization)
- **Enumerated:** January 31, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Samuel Weiser, OWNER
## Practice location
- **Address:** 1171 TOWNE ST, Cincinnati, OH 45216-2227
- **Phone:** (212) 734-6621
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (7), Clinical Psychologist (2); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164175105) · Data from the CMS NPPES public registry.