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EBONY SHIMIN LCSW
NPI 1770301665
Social Worker - Clinical in Louisville, KY

Active since September 30, 2024PECOS Enrolled
3058 BARDSTOWN RD # 1354, LOUISVILLE, KY 40205(502) 432-0214 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2025, Oct 4, 2024 (2 updates tracked since 2024).

About Ebony Shimin Lcsw NPPES

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

EBONY SHIMIN LCSW (NPI 1770301665) is an individual clinical provider in Louisville, Kentucky, licensed in Kentucky (259696) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jeffersonville, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770301665
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY SHIMINCredential: LCSW
Location Address3058 BARDSTOWN RD # 1354Louisville, KY 40205-3020
Mailing Address3058 Bardstown Rd # 1354Louisville, KY 40205-3020 · (502) 432-0214
Phone(502) 432-0214
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 30, 2024
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1770301665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in KY · 259696✔ Licensed in IN · 34012311A
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.
3058 BARDSTOWN RD # 1354, Louisville, KY 40205
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Secondary Practice Location 1

Location 1326 E Court Ave # 1057Jeffersonville, IN 47130-3412 · Phone (502) 432-0214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Shimin Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709311400
PECOS Enrollment IDI20241118003369
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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 Ebony Shimin's NPI number?

The NPI number for Ebony Shimin is 1770301665. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Where is Ebony Shimin located?

Ebony Shimin practices at 3058 Bardstown Rd # 1354, Louisville, KY 40205. The listed phone number is (502) 432-0214.

What is Ebony Shimin's specialty?

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

Is Ebony Shimin enrolled in Medicare?

Yes. Ebony Shimin is registered in the Medicare PECOS enrollment system.

What insurance does Ebony Shimin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Ebony Shimin 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 Ebony Shimin was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.