Individual provider Active NPI

Lisa Zito, LISW-S, CDCA

  • Clinical Social Worker
  • Springdale, OH
National Provider Identifier
1033503628
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700466-SUPV Issued in OH
Practice address
1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100
Phone
(513) 970-9522
Fax
(513) 436-0687
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.1700466 OH
Clinical Social Worker 1041C0700X I.1700466 OH
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X I.1700466-SUPV OH Primary

Addresses

Primary practice location

1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100

Mailing address

1329 E Kemper Rd Ste 4220a
Springdale, OH 45246-5100
Phone (513) 970-9522

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

LicenseStateTypeSpecialty
I.1700466OHMDSocial Worker
I.1700466-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mode Behavioral Therapy, LLC Clinical CurrentSince Jan 22, 2023 Accepting new patients

Locations

1329 E Kemper Rd
Ste 4220A
Springdale, OH 45246
Phone (513) 570-4506

Organizations & group practices 1

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1033503628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4220A",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-970-9522",
            "fax_number": "513-436-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 E KEMPER RD STE 4220A",
            "city": "SPRINGDALE",
            "state": "OH",
            "postal_code": "452465100",
            "telephone_number": "513-970-9522",
            "fax_number": "513-436-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO",
        "first_name": "LISA",
        "credential": "LISW-S, CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700466",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700466",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700466-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.