Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Reza Lyn Shumakh, LISW

Individual provider Clinical Social Worker · NPI 1629633599

Reza Lyn Shumakh, LISW is a Clinical Social Worker in Cincinnati, Ohio. Qualified in 2015, 11 years ago. Registered with an NPI since 2019.

Years since qualifying
11
In the registry since
2019
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

3200 Vine St
Cincinnati, OH 45220-2213
Phone: (513) 861-3100
Fax: (513) 487-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1629633599
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESMay 7, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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