KELLY SHANE
NPI 1689105132
Social Worker in Columbus, OH

Active since March 27, 2017
6435 E BROAD ST, COLUMBUS, OH 43213(614) 355-8160 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2026, Sep 22, 2021, Mar 27, 2017 (3 updates tracked since 2017).

About Kelly Shane NPPES

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

KELLY SHANE (NPI 1689105132) is an individual social worker in Columbus, Ohio, licensed in Ohio (S.2308935) and active in the NPI registry since March 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689105132
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKELLY SHANE
Location Address6435 E BROAD STColumbus, OH 43213-1507
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Sole ProprietorNo
Enumeration DateMarch 27, 2017
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1689105132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in OH · S.2308935
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.

6435 E BROAD ST, Columbus, OH 43213

Secondary Practice Locations 2

Location 1299 Cramer Creek CtDublin, OH 43017-2586 · Phone (614) 284-2477
Location 2187 W Schrock RdWesterville, OH 43081-2890 · Phone (614) 355-7500 · Fax (614) 355-7533

Other Identifiers 1

Medicaid2846675OH

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.

Counselor (Mental Health)
6435 E BROAD ST
COLUMBUS, OH 43213
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6435 E BROAD ST
COLUMBUS, OH 43213
Counselor (Professional)
6435 E BROAD ST, SUITE A
COLUMBUS, OH 43213
Counselor (Professional)
6435 E BROAD ST
COLUMBUS, OH 43213
Social Worker (Clinical)
6435 E BROAD ST
COLUMBUS, OH 43213
Student in an Organized Health Care Education/Training Program
6435 E BROAD ST, SUITE A
COLUMBUS, OH 43213
Psychologist (Clinical Child & Adolescent)
6435 E BROAD ST, SUITE A
COLUMBUS, OH 43213
Counselor (Professional)
6435 E BROAD ST
COLUMBUS, OH 43213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689105132, enumerated as an "individual" on March 27, 2017.

The provider is located at 6435 E BROAD ST COLUMBUS, OH 43213 and the phone number is (614) 355-8160.

Social Worker with taxonomy code 104100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.