Active NPI
Corrie M. Vanamerongen, LISW
- Clinical Social Worker
- Columbus, OH
National Provider Identifier
1124403746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1501346
- Practice address
- 2300 W Broad St
Columbus, OH 43204-3783 - Phone
- (614) 645-2300
- Fax
- (614) 645-2333
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1302873 | OH | |
| Clinical Social Worker | 1041C0700X | I.1501346 | OH | Primary |
Addresses
Primary practice location
2300 W Broad St
Columbus, OH 43204-3783
Mailing address
1800 Watermark Dr
Suite 420
Columbus, OH 43215-1048
Phone (614) 645-5500
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1302873 | OH | MD | Social Worker |
| I.1501346 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1124403746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 WATERMARK DR",
"address_2": "SUITE 420",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151048",
"telephone_number": "614-645-5500",
"fax_number": "614-645-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432043783",
"telephone_number": "614-645-2300",
"fax_number": "614-645-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANAMERONGEN",
"first_name": "CORRIE",
"middle_name": "M.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1302873",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1501346",
"primary": true
}
],
"identifiers": [],
"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 Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.