Individual provider Active NPI

Adriana Yodfat Glazer, LISW

  • Clinical Social Worker
  • Hamilton, OH
National Provider Identifier
1043701600
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002298 Issued in OH
Practice address
2250 Pleasant Ave
Hamilton, OH 45015-1135
Phone
(513) 868-4882
Fax
(513) 868-1415
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2002298 OH Primary

Addresses

Primary practice location

2250 Pleasant Ave
Hamilton, OH 45015-1135

Mailing address

2250 Pleasant Ave
Hamilton, OH 45015-1135
Phone (513) 868-4882

Other identifiers 1

IdentifierTypeStateIssuer
0290158MedicaidOH

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
I20231110000400 OH Practitioner - Clinical Social Worker 9931556081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Clinic Outpatient ServicesGroup PAC ID 3870860380, 18 clinicians

Practice addresses (Care Compare)

2250 Pleasant Ave
Hamilton, OH 45015-1135
Phone (513) 868-1562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2002298OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Clinic Outpatient Services Clinical CurrentSince Oct 20, 2023 Accepting new patients
Central Clinic Inc Mental Health Access Point Clinical Current Accepting new patients
Central Clinic Outpatient Services Clinical CurrentSince Oct 20, 2023 Accepting new patients

Locations

512 Maxwell Ave
Cincinnati, OH 45219
Phone (513) 628-1753

311 Albert Sabin Way
Cincinnati, OH 45229
Phone (513) 558-5823

2250 Pleasant Ave
Hamilton, OH 45015
Phone (513) 558-9006

Organizations & group practices 3

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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1043701600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151135",
            "telephone_number": "513-868-4882",
            "fax_number": "513-868-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151135",
            "telephone_number": "513-868-4882",
            "fax_number": "513-868-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAZER",
        "first_name": "ADRIANA",
        "middle_name": "YODFAT",
        "name_prefix": "Ms.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0290158",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.