Individual provider Active NPI

Debra Lynn Tindall, LISW-S

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1033862214
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0007110 Issued in OH
Practice address
1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623
Phone
(614) 348-8774
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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.0007110 OH Primary

Addresses

Primary practice location

1170 Old Henderson Rd Ste 207
Columbus, OH 43220-3623

Mailing address

461 Ridge View PL
Powell, OH 43065-7531
Phone (614) 595-7306

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0007110OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura L. Dekle, LPCC-S, Licdc-CS, LLC Clinical CurrentSince Mar 31, 2024 Accepting new patients
Clarity Counseling Services, LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

2602 Oakstone Dr
Columbus, OH 43231
Phone (614) 259-8709

1170 Old Henderson Rd
Ste 207
Columbus, OH 43220
Phone (614) 321-9091

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1033862214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 RIDGE VIEW PL",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657531",
            "telephone_number": "614-595-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 OLD HENDERSON RD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203623",
            "telephone_number": "614-348-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDALL",
        "first_name": "DEBRA",
        "middle_name": "LYNN",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.