Individual provider Active NPI

Britney Derisi, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1093146318
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203396 Issued in OH
Practice address
9911 Walnutridge CT
Cincinnati, OH 45242-5443
Phone
(917) 375-4883
NPI assigned
Dec 12, 2013
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.2203396 OH Primary
Community/Behavioral Health Agency 251S00000X S.1302492 OH

Addresses

Primary practice location

9911 Walnutridge CT
Cincinnati, OH 45242-5443

Mailing address

9911 Walnutridge CT
Cincinnati, OH 45242-5443
Phone (917) 375-4883

Other practice location 1

2600 Victory Pkwy
Cincinnati, OH 45206-1711
Phone (513) 338-8770

Other practice location 2

1251 Nilles Rd Ste 5
Fairfield, OH 45014-7205
Phone (513) 939-0300

Other names 1

  • Britney Davis Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2203396OHMDClinical Social Worker
S.1302492OHMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1093146318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9911 WALNUTRIDGE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425443",
            "telephone_number": "917-375-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 WALNUTRIDGE CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452425443",
            "telephone_number": "917-375-4883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Victory Pkwy",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452061711",
            "country_code": "US",
            "telephone_number": "513-338-8770",
            "fax_number": "513-684-7953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Nilles Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "OH",
            "postal_code": "450147205",
            "country_code": "US",
            "telephone_number": "513-939-0300",
            "fax_number": "513-939-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERISI",
        "first_name": "BRITNEY",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2024-04-25",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203396",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S.1302492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITNEY",
            "last_name": "DAVIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.