Individual provider Active NPI

Riann Tippett, LISW

  • Clinical Social Worker
  • Sylvania, OH
National Provider Identifier
1104333186
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304783 Issued in OH
Practice address
5800 Monroe St Ste A9
Sylvania, OH 43560-2208
Phone
(419) 766-9604
Fax
(877) 927-2984
NPI assigned
Dec 29, 2017
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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.2304783 OH Primary

Addresses

Primary practice location

5800 Monroe St Ste A9
Sylvania, OH 43560-2208

Mailing address

25940 W River Rd
Perrysburg, OH 43551-9786
Phone (419) 906-2709

Other practice location 1

2005 Ashland Ave
Toledo, OH 43620-1703
Phone (419) 841-7701

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
I20231108003555 OH Practitioner - Clinical Social Worker 5193197804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RJ Tippett, LLCGroup PAC ID 0840645081, 2 clinicians

Practice addresses (Care Compare)

5800 Monroe St
Suite A9
Sylvania, OH 43560-2208
Phone (567) 343-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.2304783OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zepf Center CurrentSince Oct 10, 2023 Accepting new patients
RJ Tippett, LLC Clinical CurrentSince Sep 1, 2023 Accepting new patients
Zepf Center CurrentSince Oct 10, 2023 Accepting new patients
Deann Gossard LLC PastSince Nov 1, 2021 Accepting new patients
Empowered for Excellence Behavioral Health Ohio Past Accepting new patients

Locations

5800 Monroe St
Ste A9
Sylvania, OH 43560
Phone (419) 460-0621

2005 Ashland Ave
Toledo, OH 43620
Phone (419) 255-3040

4334 W Central Ave
Ste 202
Toledo, OH 43615
Phone (419) 536-5446

6605 W Central Ave
Ste 100
Toledo, OH 43617
Phone 41984177012235

Organizations & group practices 5

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1104333186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25940 W RIVER RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435519786",
            "telephone_number": "419-906-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A9",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-766-9604",
            "fax_number": "877-927-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436201703",
            "country_code": "US",
            "telephone_number": "419-841-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "RIANN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.