Active NPI
Kathryn Vidourek, L.S.W.
- Social Worker
- Columbus, OH
National Provider Identifier
1013231430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.0500801
- Practice address
- 4440 Poth Rd
Columbus, OH 43213-1324 - Phone
- (614) 751-9068
- NPI assigned
- Mar 15, 2010
- 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 | S.0500801 | OH | Primary |
Addresses
Primary practice location
4440 Poth Rd
Columbus, OH 43213-1324
Mailing address
2803 Akron Rd
Wooster, OH 44691-7904
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.0500801 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1013231430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2803 AKRON RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446917904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 POTH RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131324",
"telephone_number": "614-751-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIDOUREK",
"first_name": "KATHRYN",
"credential": "L.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-15",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.0500801",
"primary": true
}
],
"identifiers": [],
"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 Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.