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BREOSHA GILBERT-SHOGELOLA
NPI 1972379204
Social Worker in Lebanon, IN

Active since November 28, 2023PECOS Enrolled
515 W CAMP ST, LEBANON, IN 46052(765) 482-5900 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Breosha Gilbert-shogelola NPPES

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

BREOSHA GILBERT-SHOGELOLA (NPI 1972379204) is an individual social worker in Lebanon, Indiana, licensed in Indiana (33010805A) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1972379204
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBREOSHA GILBERT-SHOGELOLA
Location Address515 W CAMP STLebanon, IN 46052-1648
Mailing Address515 W Camp StLebanon, IN 46052-1648 · (765) 482-5900
Phone(765) 482-5900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 28, 2023
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1972379204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IN · 33010805A
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.
515 W CAMP ST, Lebanon, IN 46052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breosha Gilbert-shogelola is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456842822
PECOS Enrollment IDI20251113000877
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.

Other Providers at the Same Location NPPES 5

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

INDIANA UNITED METHODIST CHILDREN'S HOME
Residential Treatment Facility, Emotionally Disturbed Children
515 W CAMP ST
LEBANON, IN 46052
Boone County (765) 482-5900
LATANIA CHANELL WALDRUP MCATEE
Counselor (Mental Health)
515 W CAMP ST
LEBANON, IN 46052
Boone County (765) 482-5900
AMANDA DUNN
Counselor (Mental Health)
515 W CAMP ST
LEBANON, IN 46052
Boone County (765) 482-5900
NIKKI K BARNES MSW, LSW
Social Worker
515 W CAMP ST
LEBANON, IN 46052
Boone County (765) 482-5900
ANGELA ALDRICH
Counselor
515 W CAMP ST
LEBANON, IN 46052
Boone County (765) 482-5900

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 Breosha Gilbert-shogelola's NPI number?

The NPI number for Breosha Gilbert-shogelola is 1972379204. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Where is Breosha Gilbert-shogelola located?

Breosha Gilbert-shogelola practices at 515 W Camp St, Lebanon, IN 46052. The listed phone number is (765) 482-5900.

What is Breosha Gilbert-shogelola's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Breosha Gilbert-shogelola enrolled in Medicare?

Yes. Breosha Gilbert-shogelola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breosha Gilbert-shogelola was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.