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

Shane D Humphrey, CDCA

Individual provider Case Manager/Care Coordinator · NPI 1013616408

Shane D Humphrey, CDCA is a Case Manager/Care Coordinator in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1 Elizabeth Pl
Dayton, OH 45417-3445
Phone: (937) 813-1737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.186047 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1013616408
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address1 Elizabeth Pl, Dayton, OH 45417-3445

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