Individual provider Active NPI

Shani Beth Topolosky, LISW-S, LMT

  • Clinical Social Worker
  • Worthington, OH
National Provider Identifier
1033249131
Registry record updated Nov 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0007922 Issued in OH
Practice address
870 High St
Suite 14
Worthington, OH 43085-4139
Phone
(614) 785-6837
Fax
(614) 785-1323
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I-0007922 OH Primary
Massage Therapist 225700000X 33.010793 OH

Addresses

Primary practice location

870 High St
Suite 14
Worthington, OH 43085-4139

Mailing address

870 High St
Suite 14
Worthington, OH 43085-4139
Phone (614) 785-6837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2014 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-0007922OHMDClinical Social Worker
33.010793OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andy Stuck PH.D Lisw LLC Clinical Past Accepting new patients
Catholic Social Services, Inc. PastSince Oct 6, 2011 Accepting new patients
Remember You, LLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352505600000",
    "number": "1033249131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 14",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854139",
            "telephone_number": "614-785-6837",
            "fax_number": "614-785-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 HIGH ST",
            "address_2": "SUITE 14",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854139",
            "telephone_number": "614-785-6837",
            "fax_number": "614-785-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOPOLOSKY",
        "first_name": "SHANI",
        "middle_name": "BETH",
        "credential": "LISW-S, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0007922",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.010793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.