Avalon Espinoza, MSW, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I0006091 Issued in OH

Practice address

500 W Wilson Bridge Rd Ste 75
Worthington, OH 43085-2238

Phone

(614) 395-9767

NPI assigned

Jun 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Avalon Klepper Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Root Counseling Growth & Development for Adults, Adoles & Child, LLC

  • Community/Behavioral Health Agency
  • Worthington, OH
  • NPI 1770230179
  Medicare reassignment NPD Authorized official
• Susan Weltner-Brunton, PH.D., Inc.

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1255479127
  NPD (past)

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1033590641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S OHIO AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051335",
            "telephone_number": "614-395-9183",
            "fax_number": "844-333-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WILSON BRIDGE RD STE 75",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852238",
            "telephone_number": "614-395-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "AVALON",
        "credential": "MSW, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-10",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0006091-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0006091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVALON",
            "last_name": "KLEPPER",
            "credential": "MSW, LISW-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enhanced Home Care of Columbus Inc.
• Timothy John Enwright, PT
• Jada Epps
• Emily Erchick, LISW-S
• Charles Erickson
• ABA Essandoh
• Christopher A Estadt, MED
• Bilan S Etchison
• Carolyn Sue Evans
• Cynthia B Evans, M.D.

• Clinical Social Worker in Worthington, OH
• Providers in Worthington, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.