Individual provider Active NPI

Andrea Rae Ohler, MSW, CSW

  • Clinical Social Worker
  • Manchester, KY
National Provider Identifier
1063734747
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
252386 Issued in KY
Practice address
5159 Highway 80
Manchester, KY 40962-8755
Phone
(616) 312-2594
NPI assigned
Feb 22, 2010
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 252386 KY Primary

Addresses

Primary practice location

5159 Highway 80
Manchester, KY 40962-8755

Mailing address

5159 Highway 80
Manchester, KY 40962-8755
Phone (616) 312-2594

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
252386KYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1063734747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5159 HIGHWAY 80",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409628755",
            "telephone_number": "616-312-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5159 HIGHWAY 80",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409628755",
            "telephone_number": "616-312-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLER",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MSW, CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.