Individual provider Active NPI

Dashia Stantz, LISW

  • Social Worker
  • Cincinnati, OH
National Provider Identifier
1164876199
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.1700107-SUPV Issued in OH
Practice address
2850 Winslow Ave.
Ml9700
Cincinnati, OH 45206
Phone
(513) 636-0225
Fax
(513) 636-0661
NPI assigned
Apr 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.1700107-SUPV OH Primary
Clinical Social Worker 1041C0700X I.1700107 OH
Social Worker 104100000X S1450441 OH

Addresses

Primary practice location

2850 Winslow Ave.
Ml9700
Cincinnati, OH 45206

Mailing address

2850 Winslow Ave.
Ml9700
Cincinnati, OH 45206
Phone (513) 636-0025

Other practice location 1

4633 Aicholtz Road
Cincinnati, OH 45244
Phone (513) 752-1555

Other practice location 2

555 Cincinnati Batavia Pike
Cincinnati, OH 45244-1557
Phone (513) 752-1555

Other practice location 3

551 Cincinnati Batavia Pike
Cincinnati, OH 45244-1518
Phone (513) 752-1555

Other identifiers 2

IdentifierTypeStateIssuer
724575OtherWORKERS' COMPENSATION EMPLOYER RISK NUMBER
2846595MedicaidOH

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
S1450441OHMDSocial Worker
I.1700107OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1164876199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 WINSLOW AVE.",
            "address_2": "ML9700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "513-636-0025",
            "fax_number": "513-636-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WINSLOW AVE.",
            "address_2": "ML9700",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45206",
            "telephone_number": "513-636-0225",
            "fax_number": "513-636-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4633 Aicholtz Road",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "45244",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441557",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "fax_number": "513-753-2144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Cincinnati Batavia Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441518",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "fax_number": "513-753-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTZ",
        "first_name": "DASHIA",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-15",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1700107-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1700107",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION EMPLOYER RISK NUMBER",
            "identifier": "724575",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846595",
            "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 Sep 8, 2023; 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.