LORI ANN SHAFFER
NPI 1689192734
Social Worker - Clinical in Middletown, OH

Active since September 08, 2017PECOS EnrolledAccepts Medicare Assignment
1131 MANCHESTER AVE, MIDDLETOWN, OH 45042(513) 896-7887 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori Ann Shaffer NPPES

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

LORI ANN SHAFFER (NPI 1689192734) is an individual clinical provider in Middletown, Ohio and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hamilton, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689192734
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLORI ANN SHAFFER
Location Address1131 MANCHESTER AVEMiddletown, OH 45042-1962
Mailing Address1502 University BlvdHamilton, OH 45011-3335 · (513) 881-7189 · Fax (513) 881-7188
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 8, 2017
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedJuly 1, 2024
✔ NPI 1689192734 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.
1131 MANCHESTER AVE, Middletown, OH 45042

Secondary Practice Location 1

Location 11490 University BlvdHamilton, OH 45011-3305 · Phone (513) 896-7887 · Fax (513) 896-5682

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Ann Shaffer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567900558
PECOS Enrollment IDI20240821004469
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 Lori Shaffer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1490 UNIVERSITY BLVD
Hamilton, OH 45011
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group
Adolescent and Children Mental Health
5050 MADISON RD
Cincinnati, OH 45227
  • Reassigned Medicare billing, Ohio enrollment
  • 29 clinicians in this Medicare group

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 45042 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.

Counselor
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Case Manager/Care Coordinator
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Counselor
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Counselor
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Social Worker
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Counselor
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Community Health Worker
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042
Counselor
1131 MANCHESTER AVE
MIDDLETOWN, OH 45042

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 Lori Shaffer's NPI number?

The NPI number for Lori Shaffer is 1689192734. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Lori Shaffer located?

Lori Shaffer practices at 1131 Manchester Ave, Middletown, OH 45042. The listed phone number is (513) 896-7887.

What is Lori Shaffer's specialty?

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

Is Lori Shaffer enrolled in Medicare?

Yes. Lori Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lori Shaffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Shaffer reassigns Medicare benefits to 2 organizations: Butler Behavioral Health Services, Inc. (Hamilton, OH) and The Children's Home Of Cincinnati Ohio, Inc (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 Lori Shaffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lori Shaffer accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Lori Shaffer 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 Lori Shaffer was last updated on July 1, 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.