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SHELIA M THOMAS MSW, LSW
NPI 1265885362
Social Worker - Clinical in Blue Ash, OH

Active since July 13, 2016PECOS Enrolled
4260 GLENDALE MILFORD RD STE 101, BLUE ASH, OH 45242(513) 745-9993(513) 745-9993 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2023, Dec 13, 2021, Jul 13, 2016 (3 updates tracked since 2016).

About Shelia M Thomas Msw, Lsw NPPES

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

SHELIA M THOMAS MSW, LSW (NPI 1265885362) is an individual clinical provider in Blue Ash, Ohio, licensed in Ohio (I.1901453-SUPV) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1265885362
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELIA M THOMASCredential: MSW, LSW
Location Address4260 GLENDALE MILFORD RD STE 101Blue Ash, OH 45242-3752
Mailing Address4260 Glendale Milford Rd Ste 101Blue Ash, OH 45242-3752 · (513) 745-9993 · Fax (513) 745-9993
Phone(513) 745-9993
Fax(513) 745-9993
Sole ProprietorNo
Enumeration DateJuly 13, 2016
Last NPPES UpdateJanuary 17, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1265885362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.1901453-SUPV
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License S.1600456 (OH), I.1901453-SUPV (OH)
4260 GLENDALE MILFORD RD STE 101, Blue Ash, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 12602 Victory PkwyCincinnati, OH 45206-1711 · Phone (513) 751-7747

Other Identifiers 1

Medicaid0261411OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelia M Thomas Msw, 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 Reassignments

2

Medicare enrollment records show Shelia Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
2.4 mi
Infectious Disease
10495 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1164860920 (513) 984-2775
Talbert House
10 mi
Mental Health (Including Community Mental Health Center)
2621 VICTORY PKWY
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
  • 111 clinicians in this Medicare group
NPI 1619900834 (513) 751-7747

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
52 services32 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
38 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

STEPHANIE HOLLANDER PHARMD
Pharmacist
4260 GLENDALE MILFORD RD STE 101
BLUE ASH, OH 45242
Hamilton County (513) 745-9993
WEIYI LE MD
Family Medicine
4260 GLENDALE MILFORD RD STE 101
BLUE ASH, OH 45242
Hamilton County (513) 745-9993
LEONA KAYLA FINESTONE BOWMAN M.D.
Internal Medicine
4260 GLENDALE MILFORD RD STE 101
BLUE ASH, OH 45242
Hamilton County (513) 745-9993

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 Shelia Thomas's NPI number?

The NPI number for Shelia Thomas is 1265885362. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Where is Shelia Thomas located?

Shelia Thomas practices at 4260 Glendale Milford Rd Ste 101, Blue Ash, OH 45242. The listed phone number is (513) 745-9993.

What is Shelia Thomas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelia Thomas enrolled in Medicare?

Yes. Shelia Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelia Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelia Thomas reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Talbert House (Cincinnati, OH). Each 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 Shelia Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelia Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Shelia Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelia Thomas was last updated on January 17, 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.