Active NPI
Elizabeth Edington, MSSW, LISW-S
- Clinical Social Worker
- West Chester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1901540-SUPV
- Practice address
- 8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134 - Phone
- (513) 360-8205
- NPI assigned
- Jul 28, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901540-SUPV | OH | Primary |
| Clinical Social Worker | 1041C0700X | S.1502597 | OH |
Addresses
Primary practice location
8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134
Mailing address
9274 Maxwells Xing
Centerville, OH 45458-5030
Phone (502) 235-7624
Other practice location 1
1046 Brown St
Dayton, OH 45409-2810
Phone (937) 296-1007 ext. 2120
Other practice location 2
6601 Centerville Business Pkwy Ste 310
Dayton, OH 45459-2691
Phone (937) 637-6735
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901540-SUPV | OH | MD | Clinical Social Worker |
| S.1502597 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling LLC | Clinical | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
Locations
6601 Centerville Business Pkwy
Ste 310
Dayton, OH 45459
Phone (937) 637-3765
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
8809B Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 360-8205
8806 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 755-1777
Interoperability endpoints
- pbc.elizabethedington@140098.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1144744426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9274 MAXWELLS XING",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454585030",
"telephone_number": "502-235-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8809B CINCINNATI DAYTON RD",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450693134",
"telephone_number": "513-360-8205"
}
],
"practiceLocations": [
{
"address_1": "1046 Brown St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454092810",
"country_code": "US",
"telephone_number": "937-296-1007 x2120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6601 Centerville Business Pkwy Ste 310",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454592691",
"country_code": "US",
"telephone_number": "937-637-6735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDINGTON",
"first_name": "ELIZABETH",
"credential": "MSSW, LISW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-28",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1901540-SUPV",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S.1502597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.