Organization provider

SHINY TRIANGLE LCSW PC

Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist Family Psychologist Medicare enrolled

SHINY TRIANGLE LCSW PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164175105, based in Cincinnati, OH. The organization lists 4 taxonomy classifications, with Clinical Social Worker recorded as primary.

Getting there

The practice address on file is 1171 TOWNE ST, Cincinnati, OH 45216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1171 TOWNE ST, Cincinnati, OH 45216 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1254727480

Enrolled in Medicare 5 times, across 5 states:

StateEnrollment IDProvider type
New York O20220414002466 Part B Supplier - Clinic/group Practice
Missouri O20231113003021 Part B Supplier - Clinic/group Practice
Pennsylvania O20231127001809 Part B Supplier - Clinic/group Practice
Ohio O20231205003903 Part B Supplier - Clinic/group Practice
Georgia O20240328000517 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 5 separate enrolment records across 5 states (NY, MO, PA, OH, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Clinical covers

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. NUCC Health Care Provider Taxonomy, code 1041C0700X
Behavioral Health & Social Service Providers Social Worker Clinical

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103TB0200X Cognitive & Behavioral Psychologist Cognitive & Behavioral
103TC2200X Clinical Child & Adolescent Psychologist Clinical Child & Adolescent
103TF0000X Family Psychologist Family
1041C0700X Clinical Social Worker Clinical primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1164175105 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 31, 2022
Last updatedJan 10, 2024
StatusActive
Practice address 1171 TOWNE ST
Cincinnati, OH 45216
(212) 734-6621
Mailing address 254 OLD NYACK TPKE
Spring Valley, NY 10977
This record was updated on Jan 10, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1164175105 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 1 7 5 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 2 7 1 1 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164175105?
NPI 1164175105 is the National Provider Identifier assigned to SHINY TRIANGLE LCSW PC in Cincinnati, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Clinical cover?
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…
How do I contact SHINY TRIANGLE LCSW PC?
The phone number on file with NPPES is (212) 734-6621, last updated Jan 10, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SHINY TRIANGLE LCSW PC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164175105 a valid number?
Yes. 1164175105 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.