Active NPI
Anne M Brady, LISW-S
- Social Worker
- Columbus, OH
National Provider Identifier
1003047648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S0700596
- Practice address
- 1550 Old Henderson Rd Ste W227
Columbus, OH 43220-7607 - Phone
- (614) 585-9355
- NPI assigned
- Jul 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S0700596 | OH | Primary |
Addresses
Primary practice location
1550 Old Henderson Rd Ste W227
Columbus, OH 43220-7607
Mailing address
1550 Old Henderson Rd Ste W227
Columbus, OH 43220-7607
Phone (614) 585-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08258 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0700596 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1003047648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 OLD HENDERSON RD STE W227",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432207607",
"telephone_number": "614-585-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 OLD HENDERSON RD STE W227",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432207607",
"telephone_number": "614-585-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "ANNE",
"middle_name": "M",
"credential": "LISW-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-30",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S0700596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08258",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.