SHELLEY WATTS (MSW, LISW-S) – Social Worker, NPI 1891124830

SHELLEY WATTS (MSW, LISW-S) is a healthcare provider. based in Cortland, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LISW-S. They hold a License No. I.1800898 (OH). The NPI Number for SHELLEY WATTS (MSW, LISW-S) is 1891124830

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY WATTS (MSW, LISW-S)
NPI
1891124830
Phone
Not provided
Address
90 LAURA LN
Enumeration Date
8 November 2013
Last Update Date
18 February 2020

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
8006383232
Graduation Year
2012 (14 years ago)
PAC ID
2668737834
Group Practice PAC ID
6901049089
Professional Enrollment ID
I20180518000227
Address ID
OH446915353WO2000XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for SHELLEY WATTS (MSW, LISW-S)

  • 90 LAURA LN

    CORTLAND, OH 444101680

    Phone:

    Type: Mailing

  • 1325 5TH AVE FL 2

    YOUNGSTOWN, OH 445041702

    Phone: (330) 743-1015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180518000227IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901049089View full group profile

Reviews

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Frequently asked questions

How do payers reference SHELLEY WATTS (MSW, LISW-S)?
For SHELLEY WATTS (MSW, LISW-S), use NPI 1891124830 as the unique 10-digit identifier.
Is there an active status for SHELLEY WATTS (MSW, LISW-S)?
For scheduling context, SHELLEY WATTS (MSW, LISW-S) is shown as active in the registry.
How would a patient describe SHELLEY WATTS (MSW, LISW-S)'s focus?
For SHELLEY WATTS (MSW, LISW-S), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with SHELLEY WATTS (MSW, LISW-S)?
Directory geography for SHELLEY WATTS (MSW, LISW-S) centers on Cortland, Ohio.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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