Individual provider Active NPI

Rebecca Joy Gwirtz, LISW-S

  • Social Worker
  • Worthington, OH
National Provider Identifier
1013578020
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0024250-SUPV Issued in OH
Practice address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone
(614) 844-3800
NPI assigned
Jun 21, 2019
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.0024250-SUPV OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Mailing address

445 East Dublin Grandville Road
Columbus, OH 43085

Other practice location 1

649 Main St
Groveport, OH 43125-1420
Phone (614) 916-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405001046 OH Practitioner - Clinical Social Worker 7416364724 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0024250-SUPVOHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preparing for Tomorrow Counseling Services, LLC CurrentSince Oct 24, 2024 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Dec 13, 2020 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Dec 13, 2020 Accepting new patients

Locations

1801 Watermark Dr
Ste 200
Columbus, OH 43215

431 E Livingston Ave
Columbus, OH 43215
Phone (614) 227-9420

527 S High St
Columbus, OH 43215
Phone (614) 227-9444

649 Main St
Groveport, OH 43125
Phone (614) 916-7005

59 Grant St
Newark, OH 43055
Phone (740) 349-7511

Interoperability endpoints

  • Direct secure messaging: becca.gwirtz.p1@direct.iamboundless.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1013578020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 EAST DUBLIN GRANDVILLE ROAD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "649 Main St",
            "address_purpose": "LOCATION",
            "city": "Groveport",
            "state": "OH",
            "postal_code": "431251420",
            "country_code": "US",
            "telephone_number": "614-916-7005",
            "fax_number": "614-916-3055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWIRTZ",
        "first_name": "REBECCA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0024250-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.