Individual provider Active NPI

Courtney Fiutem, LISW-S

  • Clinical Social Worker
  • Saint Clairsville, OH
National Provider Identifier
1073036190
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2002470-SUPV Issued in OH
Practice address
112 Coroline Dr
Saint Clairsville, OH 43950-1004
Phone
(740) 238-1276
NPI assigned
Jul 20, 2017
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X S.1700301 OH
Clinical Social Worker 1041C0700X I.2002470-SUPV OH Primary

Addresses

Primary practice location

112 Coroline Dr
Saint Clairsville, OH 43950-1004

Mailing address

112 Coroline Dr
Saint Clairsville, OH 43950-1004
Phone (740) 238-1276

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.1700301OHMDMental Health Counselor
I.2002470-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Aug 30, 2020 Accepting new patients
Southeastern Ohio Counseling Center, LLC. CurrentSince Dec 23, 2020 Accepting new patients
Rivers and Roads Psychotherapy, LLC Past Accepting new patients

Locations

239A Old National Rd
Old Washington, OH 43768
Phone (740) 489-5571

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/southeasternohiocounseling/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1073036190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COROLINE DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501004",
            "telephone_number": "740-238-1276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COROLINE DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501004",
            "telephone_number": "740-238-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIUTEM",
        "first_name": "COURTNEY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2023-01-09",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S.1700301",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2002470-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.