Individual provider Active NPI

Sarah Rissler

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1033579669
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1302661 Issued in OH
Practice address
3030 W Fork Rd
Cincinnati, OH 45211-1944
Phone
(513) 619-2964
NPI assigned
Feb 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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 I.1302661 OH Primary

Addresses

Primary practice location

3030 W Fork Rd
Cincinnati, OH 45211-1944

Mailing address

8668 Arcturus Dr
Montgomery, OH 45249-3502
Phone (419) 957-3190

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
I20180516002444 OH Practitioner - Clinical Social Worker 2668736851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resident Home CorporationGroup PAC ID 9537424064, 2 clinicians

Practice addresses (Care Compare)

3030 W Fork Rd
Cincinnati, OH 45211-1944
Phone (513) 389-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1302661OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Resident Home Corporation CurrentSince Mar 20, 2018 Accepting new patients

Locations

3030 W Fork Rd
Cincinnati, OH 45211
Phone (513) 389-7500

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": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1033579669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 ARCTURUS DR",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452493502",
            "telephone_number": "419-957-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W FORK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111944",
            "telephone_number": "513-619-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISSLER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.