Individual provider Active NPI

Tiffani A. Rose-Wilhelm, MSW, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1083073761
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1700535 Issued in OH
Practice address
855 S Wall St
Columbus, OH 43206-1921
Phone
(614) 233-1483
Fax
(614) 972-6200
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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.1700535 OH Primary

Addresses

Primary practice location

855 S Wall St
Columbus, OH 43206-1921

Mailing address

855 S Wall St
Columbus, OH 43206-1921
Phone (614) 233-1483

Other identifiers 1

IdentifierTypeStateIssuer
0241526MedicaidOH

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
I.1700535OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1083073761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S WALL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061921",
            "telephone_number": "614-233-1483",
            "fax_number": "614-972-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S WALL ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061921",
            "telephone_number": "614-233-1483",
            "fax_number": "614-972-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE-WILHELM",
        "first_name": "TIFFANI",
        "middle_name": "A.",
        "credential": "MSW,  LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.