Individual provider Active NPI

Appechha Neupane, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1063975829
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2405122 Issued in OH
Practice address
700 Bryden Rd Ste 120
Columbus, OH 43215-4839
Phone
(614) 705-0347
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2405122 OH Primary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 104851 TX
Clinical Social Worker 1041C0700X MSCSW.00000023 CO
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

700 Bryden Rd Ste 120
Columbus, OH 43215-4839

Mailing address

2321 Taylor Park Dr # 1024
Reynoldsburg, OH 43068-8052
Phone (614) 906-9095

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
I20240208002411 OH Practitioner - Clinical Social Worker 9032552815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MSCSW.00000023COMDClinical Social Worker
I.2405122OHMDClinical Social Worker
104851TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Support Behavioral Health, PLLC Clinical CurrentSince Feb 1, 2024 Accepting new patients
Autumn Treatment Center LLC Current Accepting new patients
Life Support Behavioral Health, PLLC CurrentSince Apr 13, 2025 Accepting new patients
Jyothi Puram, M.D., Inc Past Accepting new patients

Locations

24865 US Highway 23 S
Ste A
Circleville, OH 43113
Phone (614) 314-7516

700 Bryden Rd
Ste 120
Columbus, OH 43215
Phone (614) 432-5285

485 Metro Pl S
Ste 101
Dublin, OH 43017

2321 Taylor Park Dr
Reynoldsburg, OH 43068
Phone (614) 595-2077

Organizations & group practices 4

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1063975829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 TAYLOR PARK DR # 1024",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-906-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 BRYDEN RD STE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154839",
            "telephone_number": "614-705-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "APPECHHA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2405122",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104851",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "MSCSW.00000023",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.