Shirley L Story-nelson, LCSW, LMFT, LCAC in Gary, IN

Shirley L Story-nelson, LCSW, LMFT, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Gary, Indiana. Her current practice location is 4956 Washington St, Gary, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 895-4830.

Shirley L Story-nelson is licensed to practice in Indiana (license number 34001161A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710594783.

Contact Information

	Shirley L Story-nelson, LCSW, LMFT, LCAC
	4956 Washington St, Gary, IN 46408-4609
	(219) 895-4830
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shirley L Story-nelson
Gender	Female
Speciality	Social Worker - Clinical
Location	4956 Washington St, Gary, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710594783
Provider Enumeration Date: 09/24/2020
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 9830599141
Enrollment ID: I20210608001867

Medical Identifiers

Medical identifiers for Shirley L Story-nelson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710594783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34001161A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shirley L Story-nelson allows following entities to bill medicare on her behalf.

Entity Name	Center For Life Enrichment Advancement And Recovery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548856842 PECOS PAC ID: 5890195713 Enrollment ID: O20210615002126

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shirley L Story-nelson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Shirley L Story-nelson, LCSW, LMFT, LCAC 4956 Washington St, Gary, IN 46408-4609 Ph: (219) 895-4830	Shirley L Story-nelson, LCSW, LMFT, LCAC 4956 Washington St, Gary, IN 46408-4609 Ph: (219) 895-4830

Reviews and Comments

Social Worker in Gary, IN

Mora Spicer Ii, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264
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Cynthia Oliver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2179 Grant St, Gary, IN 46404 Phone: 219-944-7767
Jennifer Noonan, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4900 Broadway, Gary, IN 46408 Phone: 219-237-5170 Fax: 219-321-1931

Shirley L Story-nelson, LCSW, LMFT, LCAC - Medicare Clinical Social Worker in Gary, IN