Individual provider Active NPI

Anita Eileen Zielinski-Bean, LISW-S, CCM

  • Clinical Social Worker
  • Lancaster, OH
National Provider Identifier
1144759770
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0500002 Issued in OH
Practice address
220 E Walnut St
Lancaster, OH 43130-4464
Phone
(740) 277-6043
NPI assigned
Jun 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Clinical Social Worker 1041C0700X I0500002 OH Primary

Addresses

Primary practice location

220 E Walnut St
Lancaster, OH 43130-4464

Mailing address

220 E Walnut St
Lancaster, OH 43130-4464
Phone (740) 277-6043

Other practice location 1

1155 E Main St
Lancaster, OH 43130-4056
Phone (740) 277-6043 ext. 1011

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
I20170914000107 OH Practitioner - Clinical Social Worker 1254604259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Ohio Medical University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairfield Community Health CenterGroup PAC ID 9133316805, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

220 E Walnut St
Lancaster, OH 43130-4464
Phone 74027760431318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Community Health Center Federally Qualified Health Center (FQHC) CurrentSince Mar 1, 2020 Accepting new patients
Fairfield Community Health Center CurrentSince Mar 1, 2020 Accepting new patients
Fairfield Community Health Center Federally Qualified Health Center (FQHC) Past Accepting new patients

Locations

1055 W Market St
Ste H
Baltimore, OH 43105
Phone (740) 277-6043

216 Trace Dr
Lancaster, OH 43130
Phone (740) 277-6043

1155 E Main St
Lancaster, OH 43130
Phone (740) 277-6043

220 E Walnut St
Lancaster, OH 43130
Phone (740) 277-6043

Interoperability endpoints

  • Direct secure messaging: anita.zielinskibean.p10@direct.fchc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1144759770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431304056",
            "country_code": "US",
            "telephone_number": "740-277-6043 x1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIELINSKI-BEAN",
        "first_name": "ANITA",
        "middle_name": "EILEEN",
        "credential": "LISW-S, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0500002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.