WENDY J SHADE LCDCIII, ICADC
NPI 1619995511
Social Worker - Clinical in Kettering, OH

Active since July 18, 2006
3017 GLENMERE CT, KETTERING, OH 45440(999) 999-9999 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wendy J Shade Lcdciii, Icadc NPPES

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

WENDY J SHADE LCDCIII, ICADC (NPI 1619995511) is an individual clinical provider in Kettering, Ohio, licensed in Ohio (21307) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1619995511
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameWENDY J SHADECredential: LCDCIII, ICADC
Location Address3017 GLENMERE CTKettering, OH 45440-1312
Mailing Address3017 Glenmere CtKettering, OH 45440-1312
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 15, 2009
NPI 1619995511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · 21307
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.
3017 GLENMERE CT, Kettering, OH 45440

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 Wendy Shade's NPI number?

The NPI number for Wendy Shade is 1619995511. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Wendy Shade located?

Wendy Shade practices at 3017 Glenmere Ct, Kettering, OH 45440. The listed phone number is (999) 999-9999.

What is Wendy Shade's specialty?

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

When was this NPI record last updated?

The NPPES record for Wendy Shade was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.