Individual provider Active NPI

Elizabeth R. Chinn, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1033675913
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203582-SUPV Issued in OH
Practice address
775 W Broad St Ste 220
Columbus, OH 43222-1471
Phone
(614) 674-6076
Fax
(614) 745-3344
NPI assigned
Feb 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2203582-SUPV OH Primary
Social Worker 104100000X
School Social Worker 1041S0200X S.1903550 OH
Student in an Organized Health Care Education/Training Program 390200000X S.1700305-TRNE OH

Addresses

Primary practice location

775 W Broad St Ste 220
Columbus, OH 43222-1471

Mailing address

775 W Broad St Ste 220
Columbus, OH 43222-1471

Other identifiers 1

IdentifierTypeStateIssuer
1473276MedicaidOH

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1903550OHMDSchool Social Worker
S.1700305-TRNEOHMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
National Youth Advocate Program, Inc CurrentSince Mar 12, 2024 Accepting new patients
National Youth Advocate Program, Inc CurrentSince Mar 12, 2024 Accepting new patients

Locations

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

1801 Watermark Dr
Ste 200
Columbus, OH 43215

Organizations & group practices 2

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": "1550188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1033675913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W BROAD ST STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W BROAD ST STE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221471",
            "telephone_number": "614-674-6076",
            "fax_number": "614-745-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-15",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203582-SUPV",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "S.1903550",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "S.1700305-TRNE",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473276",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.