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REZA LYN SHUMAKH LISW
NPI 1629633599
Social Worker - Clinical in Cincinnati, OH

Active since May 07, 2019PECOS Enrolled
3200 VINE ST, CINCINNATI, OH 45220(513) 861-3100(513) 487-6613 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Reza Lyn Shumakh Lisw NPPES

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

REZA LYN SHUMAKH LISW (NPI 1629633599) is an individual clinical provider in Cincinnati, Ohio and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629633599
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREZA LYN SHUMAKHCredential: LISW
Location Address3200 VINE STCincinnati, OH 45220-2213
Mailing Address3200 Vine StCincinnati, OH 45220-2213 · (513) 861-3100 · Fax (513) 487-6613
Phone(513) 861-3100
Fax(513) 487-6613
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 7, 2019
✔ NPI 1629633599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
3200 VINE ST, Cincinnati, OH 45220
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reza Lyn Shumakh Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547733909
PECOS Enrollment IDI20260626002094
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 Reza Shumakh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Therapy Haus LLC
2.2 mi
Clinical
1815 WILLIAM HOWARD TAFT RD APT 912
Cincinnati, OH 45206
  • Reassigned Medicare billing, Ohio enrollment
NPI 1275464232 (513) 204-9710

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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 20

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

MS. CYNTHIA ANN MALLOY RD
Dietitian, Registered
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
CHRISTOPHER GREGORY FLOYD M.S., M.A.
Psychologist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
DR. ROBIN H. VANDIVIER-PLETSCH M.D.
Internal Medicine (Cardiovascular Disease)
3200 VINE ST, CARDIOLOGY SECTION (111C)
CINCINNATI, OH 45220
Hamilton County (513) 475-6383
RACHELLE ANN SEKERKA PHD
Psychologist
3200 VINE ST, 116B
CINCINNATI, OH 45220
Hamilton County (513) 475-6402
MRS. LESA JANE HORNBACH RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
MR. MICHAEL PAUL LAGERSTRAND SR. CO
Specialist (Prosthetics Case Management)
3200 VINE ST, 539/121
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
KATELYN MCBRIDE PHARMD, RPH
Pharmacist
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100
SADIE JAYNE COLLINS RN
Registered Nurse
3200 VINE ST
CINCINNATI, OH 45220
Hamilton County (513) 861-3100

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 Reza Shumakh's NPI number?

The NPI number for Reza Shumakh is 1629633599. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Reza Shumakh located?

Reza Shumakh practices at 3200 Vine St, Cincinnati, OH 45220. The listed phone number is (513) 861-3100.

What is Reza Shumakh's specialty?

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

Is Reza Shumakh enrolled in Medicare?

Yes. Reza Shumakh is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Reza Shumakh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reza Shumakh reassigns Medicare benefits to Therapy Haus LLC (Cincinnati, OH). The 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 Reza Shumakh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Reza Shumakh was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.