Individual provider Active NPI

Martha A Liscano, MSW

  • Social Worker
  • Columbus, OH
National Provider Identifier
1164456232
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0000992 Issued in OH
Practice address
941 Chatham LN
#103
Columbus, OH 43221-2416
Phone
(614) 451-9401
Fax
(614) 451-8113
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0000992 OH Primary

Addresses

Primary practice location

941 Chatham LN
#103
Columbus, OH 43221-2416

Mailing address

941 Chatham LN
#103
Columbus, OH 43221-2416
Phone (614) 451-9401

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

LicenseStateTypeSpecialty
I0000992OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1164456232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN",
            "address_2": "#103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-451-9401",
            "fax_number": "614-451-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN",
            "address_2": "#103",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-451-9401",
            "fax_number": "614-451-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISCANO",
        "first_name": "MARTHA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0000992",
            "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 Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.