MR. SHANE MICHAEL ANDERSON LICDC-CS
NPI 1750513040
Case Manager/Care Coordinator in Waverly, OH

Q: What is Shane Anderson's NPI number?

The NPI number for Shane Anderson is 1750513040. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Q: What is Shane Anderson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Anderson was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since August 20, 2009

13800 US HIGHWAY 23, WAVERLY, OH 45690(740) 947-8777 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Oct 31, 2023, Apr 20, 2018 (3 updates tracked since 2018).

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About Mr. Shane Michael Anderson Licdc-cs NPPES

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

MR. SHANE MICHAEL ANDERSON LICDC-CS (NPI 1750513040) is an individual case manager/care coordinator provider in Waverly, Ohio and active in the NPI registry since August 2009. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750513040

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. SHANE MICHAEL ANDERSONCredential: LICDC-CS

Location Address13800 US HIGHWAY 23Waverly, OH 45690-9402

Mailing AddressPo Box 799Piketon, OH 45661-0799 · (740) 289-2374

Phone(740) 947-8777

Sole ProprietorNo

Enumeration DateAugust 20, 2009

Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1750513040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 081184 (OH), 81184-CS (OH)

Also ListedPeer SpecialistTaxonomy 175T00000X

13800 US HIGHWAY 23, Waverly, OH 45690

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Secondary Practice Locations 2

Location 1601 S Edwin C Moses Blvd, Samaritan Behavioral Health, 1st Floor NW BldgDayton, OH 45417-3424 · Phone (937) 734-8333 · Fax (937) 734-4343

Location 21643 SR 104Chillicothe, OH 45601 · Phone (740) 313-4133 · Fax (740) 722-1784

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

KELLY J ECHOLS LPC

Counselor (Professional)