Individual provider Active NPI

Tuesdey Renea Spangler, MSW, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1013335264
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1502335 Issued in OH
Practice address
3620 N High St Ste 101
Columbus, OH 43214-3693
Phone
(614) 403-5376
NPI assigned
Apr 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1502335 OH Primary

Addresses

Primary practice location

3620 N High St Ste 101
Columbus, OH 43214-3693

Mailing address

3620 N High St Ste 101
Columbus, OH 43214-3693
Phone (614) 403-5376

Other identifiers 1

IdentifierTypeStateIssuer
0393206MedicaidOH

Other names 1

  • Tuesdey Renea Coppock Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tuesdey@outdoorconnectionandcounseling.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
1502335OHMDClinical Social Worker

Practice roles (2 of 8)

OrganizationSpecialtyStatusNew patients
Outdoor Connection & Counseling, LLC Clinical CurrentSince Nov 27, 2022 Accepting new patients
Clintonville Counseling and Wellness PastSince Mar 1, 2020 Accepting new patients

Locations

3620 N High St
Ste 101
Columbus, OH 43214
Phone (614) 403-5376

Networks

  • KY PPO C-SNP
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO
  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • KY PPO

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1013335264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143693",
            "telephone_number": "614-403-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N HIGH ST STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143693",
            "telephone_number": "614-403-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "TUESDEY",
        "middle_name": "RENEA",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-04",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1502335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393206",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tuesdey@outdoorconnectionandcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3620 N High St Ste 101",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TUESDEY",
            "last_name": "COPPOCK",
            "middle_name": "RENEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.