Active NPI
Courtney Fiutem, LISW-S
- Clinical Social Worker
- Saint Clairsville, OH
National Provider Identifier
1073036190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.2002470-SUPV
- Practice address
- 112 Coroline Dr
Saint Clairsville, OH 43950-1004 - Phone
- (740) 238-1276
- NPI assigned
- Jul 20, 2017
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1700301 | OH | MD | Mental Health Counselor |
| I.2002470-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Ohio Counseling Center, LLC. | Current | Accepting new patients | |
| Southeastern Ohio Counseling Center, LLC. | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Old Washington, OH
- NPI 1306459821
-
- Community/Behavioral Health Agency
- Old Washington, OH
- NPI 1679844526
-
- Counselor
- Saint Clairsville, OH
- NPI 1376191601
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
- Julie Ann Fillipovich, CASE MANAGER
- Meredith Lynn Finsley, MA
- First Choice Anesthesia
- First Settlement Phycial Therapy
- Jenelle Christine Fitch, PH.D.
- Denise M Flint, LPCC
- Ryan D Fluharty, LSW
- Freeda J Flynn, MD
- Kristen Lynd Foraker I
- Forest Hill Opco LLC (Forest Hills Healthcare and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.