Active NPI
Charlotte Sawyer Short, MSSW,LISW
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1114011533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 00I2100
- Practice address
- 11385 Montgomery Rd
Ste 230
Cincinnati, OH 45249 - Phone
- (513) 469-6226
- Fax
- (513) 469-6277
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00I2100 | OH | Primary |
Addresses
Primary practice location
11385 Montgomery Rd
Ste 230
Cincinnati, OH 45249
Mailing address
11385 Montgomery Rd
Ste 230
Cincinnati, OH 45249
Phone (513) 469-6226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11590 | Other | OH | MANAGED HEALTH NETWORK |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00I2100 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114011533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11385 MONTGOMERY RD",
"address_2": "STE 230",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45249",
"telephone_number": "513-469-6226",
"fax_number": "513-469-6277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11385 MONTGOMERY RD",
"address_2": "STE 230",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45249",
"telephone_number": "513-469-6226",
"fax_number": "513-469-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "CHARLOTTE",
"middle_name": "SAWYER",
"name_prefix": "Ms.",
"credential": "MSSW,LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "00I2100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "11590",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.