Individual provider Active NPI

Phyllis Ann McVey-Wolverton, MSW LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1104973817
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-0004741 OH LISW Issued in OH
Practice address
2691 E Main St
Suite #203
Columbus, OH 43209-2535
Phone
(614) 237-0309
Fax
(614) 231-2951
NPI assigned
Jan 4, 2007
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 104987- LICSW MA
Clinical Social Worker 1041C0700X I-0004741 OH LISW OH Primary

Addresses

Primary practice location

2691 E Main St
Suite #203
Columbus, OH 43209-2535

Mailing address

2691 E Main St
Suite #203
Columbus, OH 43209-2535
Phone (614) 237-0309

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
I20070718000002 OH Practitioner - Clinical Social Worker 0345340535 Practice locations: Bexley, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2479 E Main St
Rear
Bexley, OH 43209-2442
Phone (614) 237-0309

348 N Ardmore
Columbus, OH 43209-2535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104987- LICSWMAMDClinical Social Worker
I-0004741 OH LISWOHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1104973817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 E MAIN ST",
            "address_2": "SUITE #203",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092535",
            "telephone_number": "614-237-0309",
            "fax_number": "614-231-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 E MAIN ST",
            "address_2": "SUITE #203",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432092535",
            "telephone_number": "614-237-0309",
            "fax_number": "614-231-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVEY-WOLVERTON",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "104987- LICSW",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I-0004741 OH LISW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.